Reimbursement Coordinator - Home Health

WellSky Corporation; Overland Park (KS); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Excellent medical, dental and vision

13 paid holidays

100% vested 401(K) retirement plans

Educational assistance up to $2500 per

Job summary

WellSky Corporation is seeking a Reimbursement Coordinator to oversee the reimbursement process for patients served by WellSky clients. The role covers claims processing, payment posting and follow-up to ensure timely, accurate payments.

Responsibilities include obtaining billing information, submitting claims, tracking status, and addressing discrepancies or denials. Experience in home health billing and EPIC EMR is required.

Qualifications

• GED or High School Diploma.
• 1-2 years of relevant work experience.
• Home Health billing/reimbursement experience.
• Experience in EPIC EMR.

Responsibilities

• Obtain billing information from clients to generate claims, perform QA of charges, and make modifications to produce a clean claim.
• Submit claims to insurance companies within the payer's filing period and track pending claims.
• Use reports to identify follow-up tasks and obtain claim status from payers or online systems.
• Research claim payments, partial payments, and over-payments, escalate if not paid within 60 days or for denials on appeal.
• Perform collection follow-up on primary and secondary claims and patient balances.

Skills

Home Health billing/reimbursement

1-2 years of relevant work experience

Education

GED or High School Diploma

Tools

EPIC EMR

Job description

The Reimbursement Coordinator is responsible for following the reimbursement process to ensure timely and accurate payment for products and services provided to patients on behalf of WellSky clients. The scope of this job includes overseeing claims processing, payment posting and follow-up activities, along with addressing discrepancies and resolving claims denials.

Key Responsibilities

• Obtain billing information from clients to generate claims, perform QA of charges, and make modifications or changes as required to produce a clean claim.
• Submit claims to insurance companies within the individual insurance company's timely filing period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primary payer , and track pending claims.
• Utilize reports to determine tasks that require follow up and obtain claim's status by calling the payer and/or using an online claims status system.
• Research claim payments, partial payments and over-payments, and take appropriate action for escalating claims not paid within 60 days or for denied appeals.
• Perform collection follow up actions on primary and secondary claims as well as patient balances as assigned.
• Prepare write-off forms when bad debt is identified and document description of the reason for each write-off.
• Perform other job duties as assigned.

Required qualifications

• GED or High School Diploma
• At least 1-2 years of relevant work experience
• Home Health billing/reimbursement experience
• Experience in EPIC EMR

Preferred qualifications

• Hospice or Palliative Care experience

Job Expectations

• Willing to work additional or irregular hours as needed
• Must work in accordance with applicable security policies and procedures to safeguard company and client information
• Must be able to sit and view a computer screen for extended periods of time

Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky:

• Excellent medical with Rx, dental, and vision benefits
• Mental Health support through EAP
• Generous paid time off, plus 13 paid holidays
• 100% vested 401(K) retirement plans
• Educational assistance up to $2500 per year

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.