Home Health - Billing & Accounts Receivable Specialist

Hireology; Houston (TX); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Competitive Pay

Generous PTO & Holidays

Medical

Dental

Vision

Life insurance & LTD/AD&D

Short-Term Disability

Supplemental Insurances

401(k) w/company match

Job summary

Transition Home Healthcare and Pathways Hospice is seeking an AR & Billing Specialist to ensure accurate billing, accounts receivable management, and timely documentation across EMR systems. This onsite role in Houston requires strong communication, billing experience in home health or hospice, and knowledge of payor contracts.

You will interact with patients, families, payors, and referral sources while maintaining confidentiality and compliance across revenue-cycle processes.

Qualifications

• Minimum one year of billing/AR experience in home health or hospice.
• Knowledge of different insurance/HMO plans and ability to research issues.
• Proficient in MS Office and related office software.
• Experience with HCHB EMR is preferred.
• Strong communication and interpersonal skills.

Responsibilities

• Ensure reimbursement through efficient billing and collections operations.
• Update billing and patient accounts in EMR systems accurately and timely.
• Work aged accounts receivable and resubmit bills as needed.
• Gather and report key billing information to the Director of Revenue Cycle Management.
• Maintain knowledge of insurance requirements and payor contracts.
• Protect patient and organization confidentiality in billing operations.

Skills

Communication skills

Organizational skills

Customer service

Tools

Microsoft Office

HCHB EMR

Job description

At Transition Home Healthcare and Pathways Hospice, our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients, families, other team members, and the public. We strive to excel in providing the highest quality healthcare and customer service possible, which is incumbent upon the excellence and commitment of our leaders and caregivers.

We are looking for a self-driven, organized individual who understands that in order to provide outstanding customer service to our patients, we must ensure that they have a great experience from the start!

AR & Billing Specialist - (Home Health & Hospice)

Onsite - Houston, TX 77081

Responsibilities:

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensure billing and patient accountrecords are updated in multiple EMR systems timely and accurately. Document all follow-up and necessary information in reference to the patient account.
• Work aged accounts receivables, resubmit bills on overdue accounts, and submit significantly delinquent accounts to supervisor for further collection.
• Gather, collate, and report key billing information to the Director of Revenue Cycle Management.
• Understand the billing information system and maintain comprehensive working knowledge including upgrades and enhancements.
• Establish and maintain positive working relationships with patients, family members,payors,and referral sources.
• Maintain comprehensive working knowledge of insurance company and authorization requirements.
• Has knowledge ofpayor contracts and ensurespayors are billed according to contract provisions.
• Protect the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Complete other tasks as required and designated by supervisor and/or administrator.

Qualifications:

• Minimum one (1) year of experience with billing processes, AR, prior authorizations, and billing systems in home health/hospice.
• Knowledge of different insurance and HMO plans and ability to research complex issues.
• Working knowledge of insurance(s) for home health, authorization, and appeals requirements.
• Proficient level experience in Microsoft Office (Word, Excel, PowerPoint, Outlook).
• Experience with HCHB EMR
• Strong communication and interpersonal skills.

Benefits:

• Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical
• Dental
• Vision
• Life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity, Cancer Policies, Legal Plans, & More!)
• 401(k) w/company match

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.