Home Health Auth / Billing Specialist

Peoples-Home-Health,-LL; Pensacola (FL); In loco; USD 35.000 - 45.000; Tempo pieno

Descrizione del lavoro

Peoples-Home-Health,-LL in Pensacola, FL is seeking an organized office administrator to manage patient paperwork, authorization processes, and front-desk duties at our Pensacola location.

Responsibilities include handling billing inquiries, coordinating with insurers, maintaining confidential records, routing calls, and providing information about the organization, all while upholding HIPAA standards and our mission.

Competenze

• High School Graduate (or equivalent).
• Knowledge of general office practices and procedures.
• Ability to function with frequent interruptions and handle more than one project at a time.
• Proficiency using Microsoft Word, Excel, and PowerPoint is required.
• Knowledge of Health Care office functions a plus.
• Ability to organize workflow efficiently with accurate results.
• Excellent customer service skills.

Mansioni

• Completes all necessary documentation for initial authorization in accordance with the insurance company contracts.
• Completes all follow up authorization requests as needed and notifies staff of authorizations and visit limits.
• Maintains active and inactive medical records, including filing and scanning of patient documents and audits.
• Reviews patient forms to ensure compliance and maintains confidentiality of files.
• Greets visitors professionally and directs them while maintaining confidentiality.
• Creates Admit packets and maintains inventory of packets.
• Prepares and distributes reports and maintains communication boards.
• Schedules employee training and in-services, CPR, skills labs, etc.
• Prepares business correspondence, memos, schedules and other documents.
• Oversees front desk and operates multi-line phones, fax, copier and other equipment.
• Distributes incoming mail and faxes to appropriate personnel.
• Maintains professional image and understanding of the company’s services.
• Transfers calls and resolves issues timely.
• Promotes a customer-friendly atmosphere for all contacts.
• Prepares and submits clean claims to insurance and self-pay patients, electronically or on paper.
• Field and answer billing questions and maintain weekly billing updates.
• Meets Days Sales Outstanding and cash collection goals.
• Meets payer billing/filing requirements.
• Performs routine collection duties and resolves issues.
• Keeps supervisor informed of billing and delinquent accounts.
• Maintains confidentiality of clinical records and billing per HIPAA.

Conoscenze

Office administration

Customer service

Multitasking

Confidentiality

MS Word

MS Excel

MS PowerPoint

Communication

HIPAA knowledge

Formazione

High School Diploma

Strumenti

Microsoft Word

Microsoft Excel

PowerPoint

Descrizione del lavoro

Description

Position Summary:

The primary responsibilities include obtaining authorization for Home Care Services, ensuring medical records are accurate, including proper and timely Physician signatures, and ensuring all documents are accounted for and filed. Other responsibilities include, but are not limited to: answering telephones, routing and screening calls, greeting visitors, responding to inquiries from the public, applicants, and providing information about the organization. All employees agree to adhere to the Mission, Vision, and Guiding Principles of Peoples Home Health

Essential Duties & Responsibilities:

• Completes all necessary documentation for initial authorization in accordance with the insurance company contracts.
• Completes all request for all follow up authorization as needed, notifies staff of all authorizations received and visit limits as well as need to discharge client due to denial for further authorization.
• Responsible for maintenance of active and inactive medical records, includes filing and scanning of patient documents, overall file maintenance, and electronic file audits
• Reviews Patient forms and documents to ensure compliance and maintains confidentiality of files at all times
• Reviews Start of Care and Discharge documents for compliance
• Greets all visitors, customers, and staff in a professional and courteous manner. Announces and directs visitors maintaining confidentiality and compliance
• Creates Admit packets and keeps an adequate inventory of packets in stock.
• Prepares and distributes reports; maintains employee communication board (in and out board)
• Schedules employee training and in-services, CPR, annual skills labs, etc
• Prepares and distributes business correspondence, memos, schedules, and other documents
• Oversees front desk and has knowledge of operating a multi-line telephone system, fax, copier, and other types of general office equipment.
• Collects and distributes incoming mail to the appropriate individual/departments
• Promptly distributes incoming faxes to the appropriate personnel, includes lab results, physician orders, referrals, applications, etc.
• Maintains a professional image and an understanding of the company’s scope of services
• Understands the company infrastructure and must have ability to transfer calls, resolve issues timely
• Promotes a customer friendly atmosphere for all co-workers and internal/external customers
• Responsible for preparing and submitting clean claims to various insurance companies and self-pay patients either electronically or by paper.
• Field and answer billing questions from patients, clerical staff and insurance companies including but not limited to identifying and resolving billing complaints/issues.
• Maintains and presents weekly billing updates to supervisor.
• Responsible for meeting routine Days Sales Outstanding (DSO) and cash collection goals.
• Must meet payer specific timely billing/filing requirements.
• Performs routine collection duties including but not limited to dunning letters, phone collections and claims corrections, troubleshooting and problem solving.
• Keeps supervisor apprised of billing, collections and delinquent accounts issues.
• Maintains strictest confidentiality of clinical records and billing information in accordance with HIPAA guidelines/regulations.
• Keeps current via literature and training on current rules and regulations of home health agency.
• Types reports, business correspondence, memos, schedules and other documents that may be needed in a timely fashion and with accuracy.
• Performs other duties as assigned

Requirements

Education/Experience:

• High School Graduate (or equivalent)
• Knowledgeable in general office practices and procedures
• Ability to function with frequent interruptions and handle more than one project at a time
• Proficiency using Microsoft Word, Excel, and PowerPoint is required
• Knowledge of Health Care office functions a plus
• Ability to organize workflow in an efficient manner with accurate results
• Excellent customer service skills