Hospice Billing Authorization Specialist

Dhillon Healthcare Group; Modesto (CA); Presencial; USD 30.000 - 42.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

401(k) with Employer Matching

Dental Insurance

Disability Insurance

Employee Assistance Program

Employee Referral Program

Flexible Spending Account

Health Insurance

Health Savings Account

Life Insurance

Mileage Reimbursement

Paid Time Off

Pet Insurance

Supplemental Insurance

Vision insurance

Descripción de la vacante

Dhillon Healthcare Group in Salida, CA, is seeking a dynamic Medical Billing Authorizations Specialist to join our billing team. You will ensure precise and timely submission of medical claims and authorizations for Hospice and Home Health services, supporting denial management and payer communications.

The role requires experience in healthcare data entry and authorization processes, strong attention to detail, and professional communication with staff, payors, and patients; we offer

Formación

• At least two years of experience in health care data entry, preferably in hospice care systems.
• At least one year of previous healthcare-related authorization experience, preferably in home healthcare billing.
• Ability to operate IBM-compatible systems and equipment.
• High school graduate or equivalent; two years college preferred.

Responsabilidades

• Oversees claims, denials, and collections for Hospice agencies, providing backup support for Home Health agencies.
• Verify hospice eligibility and serve as backup for authorizations for Home Health.
• Act as the SNF Liaison for Seva Hospice, verifying all SNF claims and patient information.
• Maintain an updated manual with processing eligibility and authorization requirements for each payor/portal.
• Obtain acceptance of financial responsibility for external provider claims and reprice to Medicare rates.
• Submit to accounting for payment and provide insurance education and support to Hospice and Home Health teams.
• Communicate professionally and timely with staff, payors, vendors, and patients.
• Foster a positive and collaborative working environment with internal teams.

Conocimientos

Healthcare data entry

Healthcare authorization

IBM-compatible systems

Educación

High school diploma or equivalent

Two years college preferred

Herramientas

IBM-compatible equipment

Descripción del empleo

Dhillon Healthcare Group in Salida, CA, is seeking a dynamic Medical Billing Authorizations Specialist to join our billing team. You will ensure precise and timely submission of medical claims and authorizations for Hospice and Home Health services, supporting denial management and payer communications.

The role requires experience in healthcare data entry and authorization processes, strong attention to detail, and professional communication with staff, payors, and patients; we offer