HMO Biller
4 weeks ago
Brooklyn, United States
Valence Care Family of Home Care Companies
Full time
- Run the AR every 4 weeks.
- Make sure the claims were paid correctly.
- Denials must be checked, sent appeal, Check authorization and eligibility.
- Make phone calls if the denial is not clear, have the claims reprocess, etc.
- Timely Filing, make sure claims are out before it hit timely filing.
- Send corrected claims, if needed
- Sending out invoices to the patient for copay and deductible
- Write-off
- Posting payments
- Bill HMO Claims
- Must check and work on denied claims every week.
- Check on Waystar daily if any claims are rejected.
- The payments must be posted no later than 1 week after getting the remittance.
- Eligibility check 1st and 15th of the month.
- Claims submission once a week
- Billing straight Medicaid as secondary.
- If you have Health First as your account, make sure to check HHAX portal for failed EVV.
Salary: $24 - $28/ HR
Other details
- Job Family Girling NY
- Job Function Girling NY
- Pay Type Hourly
- Employment Indicator Full Time Regular
- Required Education High School
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