Billing & Collections Specialist ID-19788
Overview
We are seeking a Billing & Collections Specialist to join our dynamic team at the central billing office. In this role, you will quickly and accurately identify claim denials, apply corrections, manage resubmissions and initiate secondary/tertiary billing, track claim outcomes and exhaust all options to achieve target collections for home health services across multiple payer sources.
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Ideal Candidate Attributes:
- Detail-oriented with a keen eye for accuracy.
- Strong research and analytical skills.
- Ability and willingness to work in a fast-paced environment and collaborate with team members to meet departmental goals.
- High proficiency in communication and open to accepting feedback.
- Enjoys solving puzzles and tackling complex issues.
Responsibilities
Key Responsibilities:
Read and understand explanation of payment and other communication documents received from payers.
Place frequent calls to payers to gather status, information on balances, or to reprocess incorrect claims.
Research full and partial denial reasons to apply corrective actions and resolve outstanding claim balances.
Utilize available resources to review and resolve unpaid balances on Account Receivable listings as assigned.
Successfully navigate portals and systems to file timely and accurate reconsiderations and first-level appeals.
Complete monthly Medicaid eligibility checks and apply necessary holds and discharges.
Provide notification to client families, physicians, and therapists regarding eligibility status as needed.
Coordinate with and assist other departments within KidsCare.
Communicate errors and discrepancy patterns to Billing Leadership.
Follow written processes and directions regarding updates and changes received from Billing Leadership.
Provide excellent customer service to all internal team members and external clients via phone, email, and in-person communications.
Comply with all company policies, practices, and procedures.
Perform other duties as assigned.
Qualifications
Qualifications:
High school diploma or general education degree (GED).
One (1)- Two (2) years of medical billing experience.
Proficiency in Microsoft Excel.
Ability to learn new concepts and ideas quickly.
Exceptional customer service skills, especially in relation to internal team members.
Ability to prioritize work and multi-task.
High ethical and moral standards.
Physical Demands/Working Environment:
Ability to sit at a computer for an extended period.
Light to moderate physical activity and lifting required.
Specific vision abilities required include close vision.
Moderate noise level (i.e., business office with computers, phone, and printers, light traffic).
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
About KidsCare
Established in 2003, we are a pediatric home health agency serving children with special needs across the country. Our focus is on nursing, speech, physical, and occupational therapy as well as providing case management for children up to 18 years of age. Founded upon the principle that patient care/therapy is most effective when it is one-on-one, set in a familiar environment and includes family member and caregiver involvement, the organization has grown from its original roots in Dallas Texas to a multi-state operation. Regardless of this growth, however, our original commitment of providing quality health care to every child and family serviced as never changed. If you are looking to be a part of a company whose culture is rooted in the C.A.R.E of others, please review the opportunity below and be sure to visit our website at https://kidscarehomehealth.com/careers-overview/ for a full listing of our open positions.
