Healthcare billing specialist

2 weeks ago


King of Prussia, United States Amtex Systems Inc Full time
Job DescriptionJob DescriptionJob Title: Home Care PFS Accts Rec Rep Number of Positions: 1Remaining Positions: 1Client: CHPState: Pennsylvania King of Prussia Homecare, 3000 Horizon Driv 19406 Start Date: 04/22/2024
Est. End Date: 07/26/2024
Schedule Notes: We are looking for someone with extensive Billing experience and possibly a CPC certification. 3 days remote/ 2 week in office Tuesday and Wednesday, Daytime 8:30-5 pm ESTPay rate: $27/ hr on w2 all-inclusive Duties: JOB SUMMARYThe primary focus of the accounts receivable representative is to provide consistent follow up on the open account receivables. Responsible to review payments received for services rendered and to determine contractual compliance. Responsible to provide payment disputes to third parties in a timely manner per payor, contractual and regulatory guidelines. Work with interdisciplinary team and appropriate pre-cert coordinator to assure authorization issues are resolved.Essential Functions1. Review of the accounts receivable reports and explanation of benefits to determine outstanding balances for follow up. Perform payment disputes timely and in accordance with payor, contractual and regulatory guidelines. Document all follow up activities into the patient's medical record.2. Review payments for accuracy. Identify and report all issues and identified trends related to contractual compliance utilizing the payor issue process to management.3. Complete payor projects as assigned and document all follow up activity.4. Perform as necessary, eligibility checks, payer changes, crediting and resubmission of claims.5. Assist in obtaining/maintaining department's cash goals.6. Provide all home care patient financial services functions in accordance with CHOP, CHHC policy and all regulatory and accrediting agency guidelines7. Perform other duties as assigned by management.Skills: Previous billing/reimbursement experience.Strong organizational skills.Strong verbal and communication skills.Basic application and computer skills.Strong data entry skillsEducation: Education Level High School Diploma / GED Required Work ExperienceAt least one (1) year experience with computers. Required At least two (2) years experience in health care billing. Required


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