In-Home Care Billing and Payroll Coordinator

1 week ago


Fayetteville, Georgia, United States Sanzie HealthCare Services Inc Full time
Job Description

We are seeking a skilled In-Home Care Billing and Payroll Coordinator to join our team at Sanzie Healthcare Services Inc. As a key member of our Revenue Cycle department, you will be responsible for billing, collecting, posting and managing account payments. Your strong background in medical billing and excellent analytical skills will enable you to identify and resolve claims issues, improve our current billing procedures and collect on patient accounts.

Responsibilities:
• Investigate claims issues and stay on top of account receivables
• Prepare and submit claims to various insurance companies electronically
• Enter new employee data into the payroll system and process payroll
• Resolve unpaid claims identified on aged A/R and review and respond to all billing-related correspondence
• Identify and resolve insurance/patient billing complaints
• Send notifications regarding expired prior authorizations
• Prepare, review, and send patient statements
• Ensure all documents are submitted for proper billing: insurance verification forms, office notes, and encounters/superbills
• Report delinquent accounts to the Administrator & CEO
• Perform various collection actions including contacting clients by phone, correcting and resubmitting claims to third-party payers
• Participate in educational seminars and staff meetings (monthly or weekly)
• Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations

Requirements:
• Ability to research unpaid claims, determine and correct cause, and follow up as needed
• Ability to appeal/rebill underpaid or denied claims within payer deadlines
• Knowledge of CPT, HCPCS, and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans)
• Proficient with MS Office (Word, Excel, Outlook) and experience working in multiple billing software systems (Availity and MMIS experience a plus)
• Minimum 3 years' experience in medical billing/collections with multiple specialties and a well-rounded understanding of the entire Revenue Cycle process
• Commitment to excellent customer service a must
• Excellent written and verbal communication skills
• Ability to prioritize and manage multiple responsibilities
• HIPAA Compliant

Compensation and Benefits
The salary range for this position is $40,000-$60,000 per year, depending on experience. We also offer a comprehensive benefits package, including health insurance, retirement plan, and paid time off.
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