Healthcare Billing Specialist

2 weeks ago


Natick, Massachusetts, United States Roessel Joy Full time
Job Overview

Roessel Joy is in search of a Medical Billing Clerk to join our dynamic team. The ideal candidate will possess a solid understanding of medical coding and billing practices within a healthcare setting, along with familiarity with medical terminology and experience using billing software such as Epic or CareTracker.

Key Responsibilities:
  • Claims Processing: Efficiently processes and submits Medicare and Medicaid claims, ensuring compliance with payer requirements and organizational policies.
  • Reporting: Aids in the preparation of monthly billing and accounts receivable reports, maintaining accuracy and completeness.
  • Record Maintenance: Keeps detailed and precise billing and accounts receivable records.
  • Document Management: Notifies relevant management personnel about any late or missing documents necessary for billing.
  • Collections Support: Assists in the collection of receivables by monitoring accounts, resubmitting overdue bills, and informing the billing manager of accounts that are significantly overdue.
  • Reimbursement Assurance: Guarantees reimbursement through effective billing and collections operations and sound accounts receivable management.
  • Compliance: Ensures that billing and patient account record systems adhere to generally accepted accounting principles and comply with state and federal regulations.
  • Payer Knowledge: Maintains a thorough understanding of payer contracts and ensures billing aligns with contract stipulations.
  • Regulatory Knowledge: Keeps up-to-date with government billing regulations, including Medicare and Medicaid, serving as a resource for organizational staff.
  • Data Reporting: Collects, organizes, and presents key billing information to the Finance Director.
  • System Reconciliation: Collaborates with the Finance team to reconcile billing system reports with the general ledger.
  • System Management: Oversees the use of the billing information system, staying informed about system upgrades and enhancements.
  • Relationship Building: Establishes and nurtures positive working relationships with patients, family members, payers, and referral sources.
  • Pre-Billing Audits: Conducts audits prior to billing to ensure documentation accuracy.
  • Monthly Reporting: Generates end-of-month reports detailing revenues, expenses, accounts receivable, and collections.
  • Additional Duties: Performs other tasks as assigned, including specific projects related to billing, data entry, and computer operations.
Qualifications:
  • Minimum of two years of experience in accounts receivable or healthcare data entry, preferably within home health care.
  • At least one year of prior experience in healthcare billing, ideally in home health care.
  • Familiarity with McKesson software and/or exposure to various billing software packages.
  • Strong attention to detail, excellent organizational skills, and the ability to manage multiple tasks in a fast-paced environment.
  • Exceptional verbal and written communication skills, along with demonstrated business telephone etiquette.
  • Proficiency in MS Office and internet applications.


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