Healthcare Billing Specialist

3 weeks ago

Gardendale, United States Right at Home Birmingham Full time

Right at Home is a leading provider of home care services dedicated to enhancing the quality of life for our clients and their families. Right at Home provides compassionate, professional and personalized care that promotes independence and well-being for seniors and disabled adults.

Are you passionate about healthcare finance and skilled in managing billing processes? Join our team as a Healthcare Billing Specialist and contribute to ensuring accurate and efficient billing operations within our organization.

**Responsibilities**:

- Generate and submit medical claims to insurance companies and government agencies accurately and timely.
- Verify patient insurance coverage and eligibility for services.
- Review patient bills for accuracy and completeness, including proper coding and documentation.
- Follow up on outstanding claims and denials to ensure timely payment.
- Communicate with insurance companies, patients, and healthcare providers to resolve billing issues and inquiries.
- Process patient payments, refunds, and adjustments accurately and according to company policies.
- Maintain up-to-date knowledge of healthcare billing regulations, coding guidelines, and payer policies.
- Assist with the preparation of billing reports and analysis as needed.

**Requirements**:

- Proven experience as a healthcare billing specialist or in a similar role.
- Strong understanding of medical billing processes, including CPT, ICD-10, and HCPCS coding.
- Proficiency in medical billing software/systems (e.g., Medicaid Waiver, VA Benefits, BlueCross BlueShield).
- Knowledge of insurance billing and reimbursement procedures, including Medicare, Medicaid, and commercial payers.
- Excellent attention to detail and accuracy in data entry and billing documentation.
- Strong analytical and problem-solving skills.
- Effective communication and interpersonal skills, with the ability to interact with diverse stakeholders.
- Associate's degree in healthcare administration, medical billing, or related field preferred.

Join our team and make a difference in the healthcare industry while advancing your career. We offer competitive compensation and benefits package, as well as opportunities for professional development and growth.

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