Medical Biller

Caring Hearts Home Care; Wilmington (MA); Sur place; USD 45 000 - 65 000; Plein temps

Avantages offerts par ce poste

401k with match

Health Insurance

Competitive Pay

Voluntary benefits

Paid Holidays

Résumé du poste

Caring Hearts Homecare is seeking a full-time Medical Biller to join our in-person office. You will prepare and submit claims, verify insurance, and maintain patient billing records with accuracy and HIPAA compliance.

Ideal candidates will have hands-on Medicare, MassHealth, and commercial insurance billing experience, proficiency with Word and Excel, and the ability to multitask and troubleshoot promptly. Knowledge of Waystar is preferred and you will collaborate with administrators to resolve

Qualifications

• Must have knowledge of Home Health claims billing.
• Experience with Medicare, MassHealth and other commercial insurances is required.
• Proficient with MS Word and Excel for documentation.

Responsabilités

• Prepare and submit accurate claims.
• Follow up on unpaid or denied claims.
• Insurance verification and updating patient billing records.
• Ensure HIPAA compliance and patient confidentiality.
• Post payments, reconcile and address discrepancies.
• Generate and analyze billing reports (aging, claims status).
• Manage AR >90 days and ensure timely denial documentation.

Connaissances

Home health billing

Medicare billing

MassHealth billing

Commercial insurance billing

Multitasking

Troubleshooting

Microsoft Word

Microsoft Excel

Outils

Waystar

Description du poste

Medical Biller

Caring Hearts Homecare is looking to hire a full-time Medical Biller, someone who is self-driven, responsible, professional, and a team player.

Qualifications Include:

• Knowledge and use of Waystar preferred.
• Must have knowledge of Home Health claims billing.
• Must have billing experience for Medicare, MassHealth and other Commercial Insurances.
• Must have computer experience - Microsoft Word and Excel, able to create and maintain documents.
• Must be reliable and dependable.
• Must be organized and able to multitask efficiently.
• Excellent troubleshooting skills.

Responsibilities Include:

• Prepare and submit accurate claims.
• Follow up on unpaid or denied claims.
• Insurance Verification.
• Maintain and update patient billing records.
• Ensure that all billing practices comply with relevant healthcare regulations, including HIPAA, and maintain confidentiality of patient information.
• Post payments to patient accounts, reconcile payments, and ensure discrepancies are addressed promptly.
• Generate and analyze billing reports to monitor the accuracy and timeliness of payments, including aging reports and claim status reports.
• Manages the AR for and assure prompt resolution of AR >90 days
• Manages and assures that all denial documentation is collected and sent in a timely manner.
• Participates in all collection activities of problem accounts.
• Reviews and analyzes all billing reports on a monthly basis with the Administrator and/or Designees.
• Perform other office duties as required.

Benefits Include:

• 401k with match.
• Health Insurance.
• Competitive Pay.
• Voluntary benefits - Dental, Vision, Short-term Disability, Life insurance, etc.
• Paid Holidays.

Work Location: In person