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Home Health
3 months ago
**Amazing Opportunity with WCBay**:
**Westminster-Canterbury on Chesapeake Bay currently has an amazing opportunity for you to serve others and grow professionally in a supportive environment. With a number of other options, our residents choose to live in our waterfront community based on the impeccable service, the warm, family-friendly atmosphere and the beautiful, inviting living spaces.**
**We welcome YOU to join in on the incredible rewards of serving our residents**
**Company Description**:
**What makes Westminster-Canterbury on Chesapeake Bay unique?**
Founded in 1982, **Westminster-Canterbury on Chesapeake Bay **is a faith based, not-for-profit, Life Plan Continuing Care Community to serve older adults of all beliefs, their families and the broader community.
Our waterfront community, located on the southern shore of Chesapeake Bay in Virginia Beach, in a beautiful, resort-like setting, provides innovative and comprehensive services designed to offer independent living, assisted living, and nursing care solutions.
Our employees, residents and guests carry out our mission daily**:_Creating community to foster joy and well-being. _**We maintain a close and friendly culture for our staff and residents by adhering to our Values of achieving excellence by giving and expecting:
**RESPECT **for each Person.
**PASSION **for what we do.
**PROFESSIONALISM **in all we do.
**Westminster-Canterbury on Chesapeake Bay** is currently hiring a Full Time **Home Health & Hospice Billing Specialist.**
**Schedule: 8:30am - 5:00pm, Monday through Friday.**
Our **Full-Time** employees are eligible for **Medical**,** Dental**, and** Vision Benefits **on the **FIRST day of employment**
**WHAT YOU WILL DO**:
Performs a variety of advanced duties involved in the billing and collections for skilled Home Health Care, Home Care, and Hospice services provided by Westminster-Canterbury and partners in accordance with established procedures and regulations. Files accurate medical claims on a timely basis to Medicare, insurance companies, and responsible parties. Maintains an accurate accounting of insurance billing, payments, etc. Assists patients and responsible parties with questions and concerns regarding their accounts.
- Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate
- Prepares bills/data for all pay sources, fulfilling individual requirements for each pay source in order to bill accurately. Adjusts any billing/data errors found on bill in a timely manner.
- Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04/HCFA 1500 forms. Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.
- Responds to inquiries regarding all pay sources and verifies client coverage accurately and timely. Identifies customer needs and responds to all customer inquiries/needs in a timely manner, ensuring a high level of customer satisfaction.
- Processes month-end billing and reports and prints them (bills and reports) for all pay sources, ensuring that each pay source is processed separately and in a timely manner. Produces demand bills if required.
- Fulfills individual requirements for processing and transmitting NOAs or NOEs and claims on an immediate and daily basis and confirms that transmission has been received by the MAC. Enters all contractual adjustments by the end of month closing including the impact of LUPAs, PEPs, and other contractual or manual adjustments.
- Posts cash receipts to patient accounts; reviews remittance advises to confirm that expected payment was received; and follows up with payer and re-bills claims not paid or incorrectly paid.
- Reports credit balances and overpayments to pay source immediately. Records claims denials, investigates reasons, and re-bills, if possible. Enters cash receipts and accurately reconciles cash entry in a timely manner.
- Collects accounts receivable from all pay sources. Call pay sources to collect accounts receivables in a timely manner, documenting on call sheet. Follows up with all unanswered claims.
- Compiles the aged trial balance within one week of month end close, or as otherwise directed, following up on outstanding balances and taking necessary action to resolve the balance.
- Remains current on changes in billing requirements of the intermediary and other pay sources and changes in the billing software programs.
- Handles all data confidentially and in compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations.
- Serves as department liaison to Home Health partners.
- Performs other duties as requested, including temporary assignments/rotations
**WHAT YOU WILL NEED TO BE SUCCESSFUL**:
- Minimum one year of medical billing experience required, preferably Home Health or Hospice billing
