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Home Health Office Manager
4 months ago
FullShift Staffing, LLC -
We are in search of a Business Office Manager for a new home health agency. They are excited to bring vital nursing care and therapies to the individuals and families that need it most, so if you are looking to make a difference using your skills and abilities APPLY TODAY
Duties/Responsibilities:
Process Payroll for staff
Accounts Payable (process vendor invoices for payment)
Accounts Receivable (billing, follow-up, collections)
Establishes, maintains, processes, and/or updates files, records, and/or other documents
Submit reports and prepare presentations as needed
Billing all insurances within timely filing guidelines, as well as follow-up on all claim in S/T status and those rejections by Medicare / Medicaid to ensure proper payment.
Able to obtain preauthorization from HMO and commercial insurance. Verify patients Medicare and other insurance home health illegibility and responsibility.
Able to bill secondary insurances
Manages billing reports to assure that all billing is captured accurately and timely.
Transfers OASIS data to the State timely and accurately.
Keeps Administrator apprised of problems/concerns/delays within billing department.
Assures Claims Integrity for the agency.
Compile and aggregate large amounts of home care visit data in a timely manner
Check claim statuses and verify payments for visits in online portals
Compare billed visits with paid visits and find discrepancies in payments
Investigate and rebill for unpaid visits
Communicate with insurance company representatives by phone/email to resolve billing issues
Obtains proper documentation for appeal process and submission
Maintain confidentiality per HIPAA regulations at all times
Other related tasks as assigned
Required Knowledge, Skills, and Experience:
Excellent organization
Excellent attention to detail
Database and excel spreadsheet management
Strong quantitative (math) and analytical skills
Strong verbal, written, and interpersonal skills
Familiarity with Microsoft Office Suite and related software
Minimum of two (2) years experience in billing or billing management of a home health care company billing Medicare Part A and working with DDE.
Strong computer skills
Thorough and working knowledge of Medicare Home Health billing/CMS regulations and requirements
Demonstrates an understanding of CPT, ICD-10, and DRG coding regulations and guidelines.
Understands basic medical terminology.
Able to use electronic or paper billing.
FullShift Staffing provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
