Home Health Insurance & Billing Specialist

Elmwoodhomecare; Taunton (MA); On-site; USD 42,000 - 62,000; Full time

Job summary

A healthcare provider in Taunton, Massachusetts, seeks an experienced Insurance and Benefits Coordinator to manage insurance verification, authorization, and billing processes. The ideal candidate will have a high school diploma, strong communication skills, and experience in the home health care sector. This role demands excellent problem-solving abilities and proficiency in medical billing software.

Qualifications

• Proven experience as an Insurance Coordinator, preferably in home health care.
• Familiarity with Medicare, Medicaid, and commercial insurance plans.
• Ability to prioritize tasks and manage time effectively.

Responsibilities

• Verify patients' insurance coverage and benefits prior to service initiation.
• Obtain necessary authorizations and pre-certifications from insurance companies.
• Prepare and submit accurate claims to insurance companies and follow up on unpaid or denied claims.
• Maintain comprehensive records of insurance verifications, authorizations, and billing activities.
• Serve as a liaison between healthcare providers, patients, and insurance companies.
• Stay current with changes in insurance regulations and maintain confidentiality.

Skills

Knowledge of medical insurance policies

Analytical skills

Communication skills

Problem-solving skills

Proficiency in EMR and billing software

Education

High School Diploma or Equivalent

Certification in Medical Billing and Coding

Job description

A healthcare provider in Taunton, Massachusetts, seeks an experienced Insurance and Benefits Coordinator to manage insurance verification, authorization, and billing processes. The ideal candidate will have a high school diploma, strong communication skills, and experience in the home health care sector. This role demands excellent problem-solving abilities and proficiency in medical billing software.