Home Health Biller Revenue Cycle Manager

COMFORT CARE HOMECARE INC; Boca Raton (FL); On-site; USD 45,000 - 55,000; Full time

Benefits offered by this job

401(k)

Competitive salary

Opportunity for advancement

Paid time off

Training & development

Job summary

Comfort Care Homecare Inc. in West Palm Beach is seeking a Home Health Biller to manage Medicare, managed care, and commercial plan billing.

You will verify data accuracy, post payments, and generate financial reports to support the revenue cycle. You will collaborate with the CFO and Registration Services to ensure timely claims, monitor accounts receivable, and help develop efficient processes to improve cash flow and payer performance.

Qualifications

• High school diploma or equivalent.
• Comparable education and experience will be considered.
• Minimum of 1 year of experience in Medicare Home Health; home health Billing experience preferred.
• Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management.
• Ability to multitask, ensuring strong communication and organizational skills.
• Strong managerial competencies in leadership and team development, with coaching/mentoring experience.

Responsibilities

• Processing Medicare, Managed Care, and commercial insurance claims.
• Verify billing data accuracy and correct errors.
• Importing/posting payments from payor types.
• Creating and distributing financial reports as needed.
• Timely resolution of all claims, including appeals.
• Follow up on accounts for billing and collections.
• Provide projections/reports for budget development and monthly forecasting.

Skills

Financial management

Multitask

Leadership

Team development

Healthcare billing

Education

High School Diploma

Comparable education/experience

Job description

Benefits:

• 401(k)
• Competitive salary
• Opportunity for advancement
• Paid time off
• Training & development

Location:

West Palm Beach

About the Role:

Home Health Biller is responsible for obtaining benefit information and verifying Medicare, managed care, and Commercial plan coverage. Also helps to develop, plan, organize, and implement current and future strategies to bill customers, process payments, improve cash flow, and manage the overall health of the company’s receivables. Also responsible for managing, in cooperation with the Manager of Registration Services, and under the direction of the CFO, day-to-day activities of the organization as they relate to revenue cycle functions which include but are not limited to front office services, billing, collections, accounts receivable, and financial planning for patients. They will also work closely with the branch to provide support to ensure claims are processed accurately and on time.

Job Responsibilities:

• Processing, monitoring, and collecting Medicare, Managed Care, and commercial insurance claims in accordance with Payor requirements.
• Verify billing data accuracy and correct errors.
• Importing/posting payments from the payor types.
• Creating and distributing various financial reports as needed.
• Timely resolution of all claims, including appeals.
• Following up on accounts for billing and on overdue accounts for collections via phone calls, re-submission, and adjustments for billing errors.
• Provides projections and reports as required for development and management of budget; produces and analyzes monthly reports that assist in the monthly forecast process.
• Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivable are no more than the agreed-upon limit and that bad debt is within budgeted target.
• Monitors effectiveness of collection efforts and maintains insurance billings are current within the established time frame specified in the department policy.
• Enhances and standardizes our workflow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the Company’s standard operating procedures.
• Designs and develops the appropriate organizational structure for the Revenue Cycle team.
• Ensures that the HIPAA Notice of Privacy Practices is on display, if applicable.

Qualifications/Education/Experience:

• High school diploma or equivalent.
• Comparable education and experience will be considered.
• Minimum of 1 year of experience in Medicare Home Health; home health Billing experience preferred.
• Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management.
• Ability to multitask, ensuring strong communication and organizational skills.
• Strong managerial competencies in the areas of leadership and team development, managerial coaching and mentoring, and situational assessment skills, with a proven track record in building and developing high-performing teams.

About Us:

Comfort Care Homecare Inc. Is an ACHC-accredited, Medicare-certified Home Health Agency. We are a reliable provider of top-notch home healthcare services in South Florida. Our committed team of professionals is devoted to delivering superior care to our patients in the comfort of their homes. We prioritize fostering a positive work environment for our staff and are deeply enthusiastic about making a positive difference in the lives of those we serve.

Salary:

From $45,000 to $55,000 per year