Home Health Intake/ Biller

2 months ago

Crystal Lake, United States Bowes In Home Care Full time

Prefers an individual with billing background or is currently in the medical or health care profession.
- Professional communicator, who can establish rapport with patients and deal with concerns and problems in a professional manner.

Performance Standards
- Ensure that the Agency is compliant with all applicable federal, state, local and Medicare laws and regulations.
- Be familiar with the applicable rules of the Illinois Department of Public Health and maintain them within the Agency.
- Maintain appropriate patient and Agency records, and all other documents in a locked and secure place according to the policies and procedures of the Agency.
- Verify patient information, service coverage and eligibility from the insurance carrier before accepting or denying any services.
- Be familiar and compliant with different insurance company’s policies and procedures to ensure service coverage and invoices are processed accordingly.
- Ensure eligibility of the patient to receive services by securing authorization from the insurance company before starting or resuming any services.
- Responsible in checking and verifying allowed number of services to prevent nonbillable or denied claims.
- Review patient services before authorization expires and document any updates in a timely manner.
- Review all necessary documentations to ensure its completeness and accuracy before submitting to Medicare or insurance carriers for claims.
- Review all incoming payments to ensure received payments are equivalent to service rendered and be able to handle it when necessary.
- Update and maintain all Billing records and reports according to BIHC’s policies and procedures.
- Handle and resolve issues regarding billing such as denied claims, denied coverage, inconsistent payment versus invoice in coordination with the Billing Director in a timely manner.
- Conduct weekly review on: outstanding balance from Medicare, insurance carriers or from the patient; audit notifications; and billing logs, to ensure payments are followed through and processed in a timely manner.
- Conduct necessary follow-up on outstanding invoice to avoid long-standing receivables.
- Respect confidentiality of any patient and Agency information when discussing patient’s information and organizational matters only to authorized personnel.
- Assist in preparing accurate daily, weekly, monthly, quarterly and yearly Billing reports and present this to the Chief Executive Officer.
- Ensure necessary documents are completed and signed according to the Agency and Medicare guidelines.
- Be able to multi-task and organize work to meet any deadlines.
- Maintain professional relationship and attending to patient, staff and client inquiries within twenty-four (24) hours or as prompt as possible.
- Be available during all hours of operation of BIHC.
- Perform any additional duties that meet the Agency, federal, state, local and Medicare guidelines as determined by the Director.

Pay: $17.00 - $23.00 per hour

**Benefits**:

- Dental insurance
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday
- Weekends as needed

**Experience**:

- ICD-10: 1 year (preferred)

Ability to Relocate:

- Crystal Lake, IL: Relocate before starting work (required)

Work Location: In person

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