Employment
Billing Specialist
Core Responsibilities:
· Follow protocol to ensure appropriate billing and payment cycles, and accurate and timely billing occur in accordance with established internal and carrier requirements.
· Maintain appropriate internal controls over accounts receivables/cash receipts, and monitors charge posting, billing, and collection operations for compliance with established policies, regulations, procedures, and standards.
· Review aging reports and determine reason for unpaid accounts.
· Contact insurance companies regarding problem or unpaid claims.
· Collaborate with clinical department concerning issues related to billing and/or medical records.
· Resolves problems concerning the recording or provision of services rendered which impact on ability to collect charges.
· Prepare and maintain required records, files, and reports on billing and financial activities.
· Coordinate copies of medical documentation with physician charges to support billing to third-party payers.
· Review and correct medical claims, edits and denials to ensure proper payment for medical services rendered.
· Responsible for billing all secondary healthcare claims with the required documentation.
· Responsible for working with the medical facilities on charge corrections and other claim edits.
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Home Care Assistance is an equal-opportunity employer and is committed to providing a workplace free from harassment or discrimination. All employment decisions are made without regard to race, color, religion, gender, national origin, ancestry, sex, age, handicap, marital status, sexual orientation, physical or mental disability, pregnancy, military status, or any other basis prohibited by law.