Billing Specialist - CareRing Health : Job Details

CareRing Health is seeking a Billing Specialist who is outcome oriented, has strong prioritization skills, and has a knack for numbers. Prefer an associate's degree in accounting or related field and experience with collections, invoicing, and/or accounts receivable.

Generate and submit billing for homecare visits and ensure collection and posting of payments and adjustments, including the following:

• Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
• Reconcile charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, medical service, and coding are billed.
• Collect accounts receivable, including the following revenue sources: States Medicaid and MCO programs, Medicare, Medicare Advantage, Government and Commercial Insurance and all other fee for service revenue, including patient responsibility.
• Appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.
• Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.
• Submit claims to insurance companies on a daily basis as necessary.
• File all correspondence into patient's chart.
• Negotiate settlements for payments with insurance companies and courts with assistance of Billing Manager.
• Audit submitted claims daily to respond to rejections, denials, and short-pays to ensure timely collections.
• Review and post Remittance Advice to EHR Medical Billing System.
• Perform Adjustments within EHR Medical Billing System according to department guidance.
• Follow billing policy guidelines and documented procedures.
• Consistently demonstrate and uphold CareRing's principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.
• Other duties as assigned.

Education and Experience:

• Associate's degree preferred
• Experience posting and balancing payments
• Experience billing Medicaid, Medicare, and commercial health plans for medical services preferred
• University/college degree is an asset

Skills and Abilities:

• Accounting experience preferred but not required
• 1 year experience with collections, invoicing and/or accounts receivable
• Strong attention to detail with a dedication to accuracy
• Ability to analyze large sets of data
• Experience working with an EHR medical billing system.
• High degree of familiarity with AR functions
• Excellent verbal and written communication skills