Medical Billing Specialist

2 months ago


Plano, United States BrightStar Care of Plano Full time
Job DescriptionJob Description

Medical Billing Specialist

Location: Plano, TX Company: BrightStar Care of Plano Employment Type: Full-Time

About Us: BrightStar Care of Plano is a leader in home health care services, committed to providing compassionate, professional, and reliable care. We believe in making a difference in our clients' lives by delivering personalized care in the comfort of their homes.

Job Description: We are seeking a dynamic Medical Billing Specialist who thrives in a fast-paced environment. In this critical role, you will ensure accurate and timely payment from insurance companies and other payers, maximizing reimbursement for our home health care services. Your expertise and dedication will enhance our revenue cycle management and support our mission to deliver outstanding care.

Key Responsibilities:

  • Analyze home health care claims and reimbursement data to identify improvement opportunities.
  • Review and ensure compliance with reimbursement policies and guidelines.
  • Collaborate with billing and coding teams to resolve issues and discrepancies.
  • Conduct audits of reimbursement processes and documentation.
  • Communicate with insurance companies and other stakeholders to resolve disputes and appeals.
  • Stay updated on healthcare regulations, coding guidelines, and reimbursement methodologies.
  • Provide training and support on reimbursement processes and best practices.
  • Manage multiple tasks and priorities efficiently in a high-paced environment.

Qualifications:

  • Bachelor's degree in healthcare administration, finance, or related field preferred.
  • 3+ years of experience in healthcare reimbursement or revenue cycle management, preferably in home health.
  • Strong understanding of healthcare reimbursement principles, including Medicare, Medicaid, and commercial payers.
  • Proficiency in analyzing claims and reimbursement data, with advanced Excel skills preferred.
  • Excellent analytical, problem-solving, and communication skills.
  • Detail-oriented and organized, with the ability to thrive in a fast-paced environment.
  • Knowledge of billing and coding processes preferred.

What We Offer:

  • Competitive salary and benefits package.
  • Opportunities for professional growth and development.
  • Supportive and collaborative work environment.



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