Home Health Billing Analyst I
Graham Healthcare Group
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $21 - $23 per hour
Job Level
About the role
- Support Billing Management to ensure timely and correct claims are filed with all respective payers and intermediaries
- Monitor claims for timely processing of payments and rejections and work A/R on a weekly basis
- Perform claim audit review for Medicare and PDGM Medicare Commercial
- Work the Medicare/Medicare PDGM Claims Held workflow
- Maintain responsibility for Oasis reports
- Review unbilled reports for Medicare and Non-Medicare on a weekly basis
- Bill Medicare/Non-Medicare claims on a daily basis
- Review pre-post report to verify all visits have a usual and customary rate and contractual adjustment on a bi-weekly basis
- Work Medicare/Non-Medicare claim rejections
- Perform billing note entry on all outstanding accounts over 30 days
- Make insurance calls to check status on outstanding claims
- Process requests for additional information from Insurance Companies
- Answer billing queue calls
- Collect patient payments via the phone
- Work monthly Medicare, Medicare, HMO, and 3rd-party agencies
- Review Monthly SOX report to ensure every account over 30 days has a Billing note
- Cover department when other employees are ill or on vacation
- Duties may vary depending on which insurance team the employee is on
- Comply with Company’s Core Values and Core Competencies
- Perform other duties as assigned by supervisor
Requirements
- High school education or equivalent
- Minimum of one to three years billing experience (preferred in home health care)
- Proficiency in Microsoft Office Suite
- Knowledge of Esolutions, Waystar, and commercial web portals
- Understanding of Medicare FSSO DDE software
- Strong computer knowledge
- Demonstrated patience, flexibility, and cooperative attitude
- Strong communication skills with other office staff
- Conscientiousness and attention to detail
Benefits
- Health, Vision, & Dental
- 401K & Pension w/ 4% employee contribution
- PTO: 15 Days
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
billing experienceclaim audit reviewclaims processingbilling note entrypatient payment collectionMedicare claimsnon-Medicare claimsOasis reportsSOX complianceA/R management
Soft skills
patienceflexibilitycooperative attitudecommunication skillsattention to detailconscientiousness