Reimbursement Coordinator - Home Health

Wellsky; United States; Remote; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical, dental & vision

401(k) retirement plan

Paid time off

13 holidays

Educational assistance

Job summary

WellSky is seeking a Reimbursement Coordinator to oversee the reimbursement process for patients served by WellSky clients, ensuring timely and accurate payments. The role includes claims processing, payment posting, follow-up, and addressing discrepancies and denials.

Ideal candidates have a GED or HS diploma, 1–2 years of relevant experience, and experience with Home Health billing and EPIC EMR; hospice or palliative care exposure is a plus.

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 and QA charges for clean claims.
• Submit claims to insurance within timely filing periods and track pending claims.
• Use reports to determine follow-up tasks and obtain claim status from payers.
• Research payments, partial payments, and over-payments; escalate denied or unpaid claims after 60 days.
• Perform collection follow-up on primary/secondary claims and patient balances.
• Prepare write-off forms when bad debt is identified with reason documentation.
• Perform other job duties as assigned.

Skills

Claims processing

EPIC EMR

Home Health billing

Attention to detail

Education

GED or High School Diploma

Job description

The Reimbursement Coordinator is responsible forfollowing the reimbursement process to ensuretimelyandaccuratepayment 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 asrequiredto produce a clean claim.

• Submit claims to insurance companies within the individual insurance company’stimelyfiling period, prepare and/or print all secondary claims that do not automatically cross over from Medicare or other primarypayer, and track pending claims.

• Utilize reports todeterminetasks that require follow up and obtainclaim’sstatus by calling the payer and/or using an online claims status system.

• Research claim payments, partialpaymentsand over-payments, and takeappropriate actionfor escalating claims not paid within60 daysor for denied appeals.

• Performcollectionfollow up actions on primary and secondary claims as well as patient balances as assigned.

• Prepare write-off forms whenbad debtisidentifiedand 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 workadditionalor irregular hours as needed

• Must workin accordance withapplicable 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

WellSky is where independent thinking and collaboration come together to create an authentic culture. We thrive on innovation, inclusiveness, and cohesive perspectives. At WellSky you can make a difference.

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.

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