Home Health Private Duty Billing Specialist

3 weeks ago

Fort Lauderdale, United States Complete Home Care Full time
Job DescriptionJob DescriptionDescription: EXPERIENCED HOME HEALTH BILLING SPECIALIST
HOME HEALTH BILLING EXPERIENCE A MUST

General Summary: The Private Duty Billing Specialist is responsible for timely and compliant Private duty billing, authorizations, and reimbursement for their designated region. The position will work directly with the Revenue Cycle Director, Billing Compliance Coordinator, Agencies and Intermediary to facilitate a fluid process of billing claims timely and successfully. This position will obtain authorizations as needed, prepare, audit, and submit claims electronically for appropriate payment. This position will be responsible for following up on outstanding claims, taking the appropriate action to ensure timely payment is received

Essential Functions:

1. Collect all the necessary information to prepare claims, coordinating with agencies when appropriate.

2. Bill and submit clean claims electronically and following up with Payer.

3. Process, collect and manage account payments.

4. Monitor claims daily, report totals

5. Research, correct, and re-submit rejected and denied claims.

6. Follow-up on corrections and report adjustments by utilizing revenue cycle management tool..

7. Monitor and maintain assigned accounts. Review billing reports to maintain accurate AR balances. Document all follow-up completed on the claim outstanding balance until final resolution is reached.

8. Keep accurate and orderly records for all billing and accounts receivable activity.

9. Pre-billing audits as assigned.

10. Proactive in identifying potential reimbursement issues, while ensuring effective problem resolution.

11. Coordinate with Agency and Billing Compliance Coordinator on any relevant process issue impacting billing so that a resolution can be established.

12. Report any billing issues that develop into trends to immediate supervisor.

13. Answer questions from patients, agency staff, and insurance companies.

14. Interpret and process Explanation of Benefits when needed.

15. Make outbound calls in a professional manner, while keeping and improving customer relations..

16. Maintain knowledge of current industry standards related to billing, cognizant of new regulations that impact billing. Prepare and implement any required change accordingly.

This description is a general statement of required essential functions performed regularly. It does not exclude other duties as assigned.


Requirements:

Experience:


-Required, Home health Private Duty billing experience

· Required, Authorization request experience

· Preferred, CareVoyant, Waystar, Availity experience


Skills:

· Ability to communicate effectively both verbally and in writing

· Excellent customer service skills

· Private Duty billing and denial management skills including VA

· Excellent PC skills,, Email, Internet Research, Word Processing, Spreadsheets, PDF and Patient Accounting software systems knowledge (preferably CareVoyant)

· Reviews and maintains reports and records to ensure accuracy

· Knowledge in accessing the payer portals

· Claims preparation and audit, including prebill audits for billing compliance

· Knowledge of billing regulations and claim submission

· Detail oriented, effective in problem resolution and escalation

· Able to organize duties and functions in a highly effective manner to achieve productivity and quality standards

· Knowledge of regulations and publications for Private Duty, skilled and unskilled care


Education:

· High school diploma or equivalent.

Physical Requirements:

· Prolonged sitting, standing, and walking required.

· Ability to handle stressful situations in a calm and courteous manner at all times.

· Requires working under some stressful conditions to meet deadlines and Company needs.


Environmental/Working Conditions:

· Works primarily in an office environment..

  • Home Health Private Duty Billing Specialist

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care - Private Duty Full time

    Description: EXPERIENCED HOME HEALTH BILLING SPECIALISTHOME HEALTH BILLING EXPERIENCE A MUST!General Summary: The Private Duty Billing Specialist is responsible for timely and compliant Private duty billing, authorizations, and reimbursement for their designated region. The position will work directly with the Revenue Cycle Director, Billing Compliance...

  • Home Health Private Duty Billing Specialist

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription: EXPERIENCED HOME HEALTH BILLING SPECIALISTHOME HEALTH BILLING EXPERIENCE A MUST!General Summary: The Private Duty Billing Specialist is responsible for timely and compliant Private duty billing, authorizations, and reimbursement for their designated region. The position will work directly with the Revenue Cycle...

  • Account Executive

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care - Private Duty Full time

    Description:We are looking for a reliable and compassionate Account Executive - Sales - Private Duty for home health to join our team.Coverage Areas: Broward and Surrounding areas.Why Complete Home Care?Join our team at Complete Home Care be a part of a company that strives to provide the best care for our patients while building a team of dedicated...

  • Account Executive

    4 weeks ago

    Fort Lauderdale, United States Complete Home Care - Private Duty Full time

    Description:We are looking for a reliable and compassionate Account Executive - Sales - Private Duty for home health to join our team.Coverage Areas: Broward and Surrounding areas.Why Complete Home Care?Join our team at Complete Home Care be a part of a company that strives to provide the best care for our patients while building a team of dedicated...

  • Assistant Director of Nursing-Private Duty Home Health

    4 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:Assistant Director of NursingPrivate Duty Home HealthWe are hiring an Assistant Director of Nursing who is a registered nurse and who ensures quality of patient/client care. Essential Functions: 1. Coordinate clinical functions; assumes responsibility for continuity, quality, and safety of services delivered in...

  • Assistant Director of Nursing-Private Duty Home Health

    3 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:Assistant Director of NursingPrivate Duty Home HealthWe are hiring an Assistant Director of Nursing who is a registered nurse and who ensures quality of patient/client care. Essential Functions: 1. Coordinate clinical functions; assumes responsibility for continuity, quality, and safety of services delivered in...

  • In-House Business Development Associate-Private Duty Home Health Care

    3 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:In-House Business Development AssociateSeeking a highly motivated and detail oriented Inside Business Development Associate to join our team. Your primary responsibility is to engage clients and guide them through our home health in-take process with exceptional professionalism and courtesy. This position demands...

  • In-House Business Development Associate-Private Duty Home Health Care

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:In-House Business Development AssociateSeeking a highly motivated and detail oriented Inside Business Development Associate to join our team. Your primary responsibility is to engage clients and guide them through our home health in-take process with exceptional professionalism and courtesy. This position demands...

  • Billing Specialist

    4 weeks ago

    Fort Lauderdale, United States Ascension Global Staffing & Executive Search Full time

    Job Description Job Description Ascension Global Staffing & Executive Search, a Hispanic Women Owned & Operated National Recruiting Firm stands at the forefront of innovation and excellence. Led by a visionary team with a deep commitment to diversity and inclusion, our firm is dedicated to identifying and attracting top talent across the nation. With a...

  • Surgical and Anesthesia Billing Professionals Needed

    3 weeks ago

    Fort Lauderdale, United States Adept Surgical Billing Solution Full time

    Positions available include Billing Specialists with experience in all aspects of RCM, Posting, Insurance Verification, and AR Collections - Insurance and Patient. Looking for Certified Coders with experience in surgery coding; full time or contract positions available. Job responsibilities are dependent of final job opportunity assigned. Below includes a...

  • Billing Specialist

    2 months ago

    Fort Myers, United States Family Health Centers of Southwest Florida Inc Full time

    Description: We are looking for a dependable, dedicated, and respectful person to join our team of Billing Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more! : The Billing Specialist is responsible for timely, accurate and comprehensive...

  • Billing Specialist

    4 days ago

    Fort Myers, United States Family Health Centers of Southwest Florida Inc Full time

    Description: We are looking for a dependable, dedicated, and respectful person to join our team of Billing Specialists. Outstanding compensation including generous paid time off, 9 paid holidays, excellent health benefits, a company paid pension, multiple bonuses, and more! : The Billing Specialist is responsible for timely, accurate and comprehensive...

  • Account Executive

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Description: We are looking for a reliable and compassionate Account Executive - Sales - Private Duty for home health to join our team. Coverage Areas: Broward and Surrounding areas. Why Complete Home Care? Join our team at Complete Home Care be a part of a company that strives to provide the best care for our patients while building a team of dedicated...

  • Account Executive

    4 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:We are looking for a reliable and compassionate Account Executive - Sales - Private Duty for home health to join our team.Coverage Areas: Broward and Surrounding areas.Why Complete Home Care?Join our team at Complete Home Care be a part of a company that strives to provide the best care for our patients while...

  • Account Executive

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:We are looking for a reliable and compassionate Account Executive - Sales - Private Duty for home health to join our team.Coverage Areas: Broward and Surrounding areas.Why Complete Home Care?Join our team at Complete Home Care be a part of a company that strives to provide the best care for our patients while...

  • Billing Specialist

    4 weeks ago

    Fort Lauderdale, United States Lewis Brisbois Bisgaard & Smith, LLP Full time

    Overview Lewis Brisbois is seeking a Billing Specialist with legal experience. The Billing Specialist will have excellent communication skills and a high level of professional service to clients, management, attorneys and other staff in order to effectively, efficiently and successfully administer monthly billing, and research, respond to and resolve...

  • Billing and Inventory Specialist

    4 weeks ago

    Fort Lauderdale, United States AutoNation Full time

    The Billing/ Inventory Associate is responsible for the accurate and timely recording of assigned inventory and billing through new vehicle delivery from manufacturers, used vehicle purchases, AAX, dealer trades, and retail & wholesale deals that mee Inventory, Billing, Specialist, Customer Experience, Accounting, Transportation, Automotive

  • PD-Home Health Aide

    4 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:Hiring Home Health Aide (HHA and CNA) for Private Duty Home CareDAY SHIFTSBrighton ReservationJoin our team today to be a part of a company that strives to provide the best care for our patients while building a team of dedicated employees. If you want a company that appreciates your skills, compassion, and heart,...

  • PD-Home Health Aide

    2 weeks ago

    Fort Lauderdale, United States Complete Home Care Full time

    Job DescriptionJob DescriptionDescription:Hiring Home Health Aide (HHA and CNA) for Private Duty Home CareDAY SHIFTSBrighton ReservationJoin our team today to be a part of a company that strives to provide the best care for our patients while building a team of dedicated employees. If you want a company that appreciates your skills, compassion, and heart,...

  • Private Investigator

    3 weeks ago

    Fort Lauderdale, United States Summers Private Investigations, Inc Full time

    **Job Type**: Part-time Pay: $25.00 - $40.00 per hour Schedule: - 10 hour shift - 8 hour shift Application Question(s): - Are you willing to travel throughout the state? If not, what is your maximum range from your home base you are willing to travel? - Do you have SIU Investigation history? **Experience**: - Private Investigations: 2 years...