Billing Specialist

4 weeks ago

Santa Teresa, United States At Home Personal Care Services Full time $31,200
Job DescriptionJob Description

Billing Specialist

Job Description

PURPOSE OF THE POSITION

The Billing Specialist is responsible for providing billing support to ensure that all data provided is input in an effective and efficient manner to ensure that any discrepancies are addressed and corrected.

SCOPE

Billing Specialist is responsible for providing billing support services and data entry.

RESPONSIBILITIES

1)      Assist the office staff as requested.

2)      Comply with all HIPPA, State, and MCO regulations.

3)      Communicate with Billing and Reconciliation Manager and the Main office to answer questions, disseminate or explain information, and address complaints.

4)      Compile, copy, sort and file records of consumers, employee’s, office activities, and other activities.

5)      Greet, assist and / or direct visitors, and the public.

6)      Operate office equipment, such as photocopiers, scanners, fax machines, voice mail systems, and computer systems.

7)      Maintain office well-ordered and clean.

8)       Travel to Satellite offices to perform similar duties.

9)      Enter data (such as dollar amounts), obtained from different insurance portals, onto a billing sheet. (Availity, UHC Portal, and Presbyterian Portal)

10)  Making sure the billed and paid amounts match as closely as possible and indicate any discrepancy.

11)  Entering authorization information on to the billing sheet.

12)  Keeping track of all authorization end dates.

13)  Ensuring all codes, including but not limited to G9006 and S5110, are billed in a timely manner.

14)  Ensuring that all offices train employees in a timely manner so that the S5110 code can be billed.

15)  Confirming claims on Authenticare, on a weekly basis.

16)  Any Information pertaining to At-Home Personal Care is Property of At-Home Personal Care Services LLC. (No Exceptions) 

17)  Assist with payment reconcile and report payment denials to management.                

18)   Promptly fulfill any set goals and tasks by Upper Management.

19)  This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization

 

KNOWLEDGE, SKILLS AND ABILITES

The Billing Specialist   must have proficient knowledge in the following areas:

·         Office administration

·         Experience working with Authenticare.

·         Experience working with New Mexico Medicaid

·         Experience working with the following portals:

Availity, UHC Portal, and Presbyterian Portal

·         An understanding of all relevant regulations, policies, and procedures.

 

The Billing Specialist   must demonstrate the following personal Skills:

·         Teamwork

·         Analytical and problem-solving skills

·         Decision making skills

·         Effective verbal and listening communications skills

·         Computer skills including the ability to use EXEL and WORD programs at a highly proficient level

·         Stress management skills

·         Time management skills

The Billing Specialist must demonstrate the following Personal Attributes:

·         Be Honest and Trustworthy

·         Be respectful

·         Possess cultural awareness and sensitivity

·         Be flexible

·         Demonstrate work ethics

Company DescriptionOur mission is to match our clients with a caregiver who will help improve the quality of their life and allow them to remain as independent as possible in their own home.

We pride ourselves on reliability and efficiency. We believe that individuals who are entrusted to our care are entitled to love and respect. The caregivers we refer for personal care services are available to you up to 7 days a week, so you can rest easy knowing they're in good hands.

At-Home Personal Care, we are committed to a culture of diversity and inclusion. We believe in an environment that celebrates our differences and allows everyone to feel welcome and thrive. At-Home Personal Care is a place where every employee can succeed, contribute, and advance. With the recruitment, retention, and advancement programs we offer, we seek to create a culturally diverse workforce that does not discriminate based on:Company DescriptionOur mission is to match our clients with a caregiver who will help improve the quality of their life and allow them to remain as independent as possible in their own home.\r
\r
We pride ourselves on reliability and efficiency. We believe that individuals who are entrusted to our care are entitled to love and respect. The caregivers we refer for personal care services are available to you up to 7 days a week, so you can rest easy knowing they're in good hands.\r
\r
At-Home Personal Care, we are committed to a culture of diversity and inclusion. We believe in an environment that celebrates our differences and allows everyone to feel welcome and thrive. At-Home Personal Care is a place where every employee can succeed, contribute, and advance. With the recruitment, retention, and advancement programs we offer, we seek to create a culturally diverse workforce that does not discriminate based on:

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