Job Description

Job Summary
The Billing Accounts Receivable Analyst is responsible for processing all VNA/Home Care Services claims to primary and secondary payers promptly and accurately in order to promote financial stability within the organization. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.
Core Job Responsibilities
Responsible for all non-Medicare and Medicare paper and electronic billing.
Analyze payment methodology with the payer contractual agreements and the actual reimbursement to ensure accurate accounts receivables. Follow-up with payers regarding payments and/or denials. Challenge the payer when their remittance is not appropriate or justified.
Follow-up on all receivables including all co-pays, adjustments and denials.
Explain the accounting of the patient balance to the patient/guarantor.
Initiate and approve payment arrangements in accordance with established departmental policies and procedures.
Update patient payer system information.
Participate in appropriate agency meetings and quality improvement and utilization review activities of the organization.
Ensure that all information is kept confidential and respect the Patient’s Bill of Rights. Comply with all state and federal regulations regarding patient data and safety.
Performs related duties as assigned.
Education/Experience Requirements
REQUIREMENTS:
High School diploma or GED.
2 years of billing/corporate customer service experience.
Knowledge of billing for Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.
Excellent computer, verbal and written communication skills.
PREFERRED:
Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.
Licensure/Certification Requirements
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 94611
Department BILLINGS CLAIMS
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule HRLY NON-UNION-LONG TERM CARE
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $18.50 - $25.00 Per Hour

Job Tags

Hourly pay, Full time, Shift work,

Similar Jobs

Joby Aviation

Social Media Manager Job at Joby Aviation

...manufacturing, and preparing to launch commercial service in 2025. Overview Were looking for a bold, innovative, and data-driven Social Media Manager to take ownership of Jobys social channels. In this role, youll craft and execute a social media strategy that builds...

A-Nu Virtual Solutions, LLC

Fully remote — work from anywhere Job at A-Nu Virtual Solutions, LLC

...Looking to work from home while making a real difference for customers and teams? Were hiring Remote Customer Service who are friendly... ...internet connection and remote workspace Ability to work flexible hours depending on client needs Meet individual and team performance...

CV Organization

Work From Home: Entry Level Sales Rep Job at CV Organization

...people, generating interest, qualifying prospect, and closing sales. Responsibilities: Communicate consistently with hundreds of union members to schedule virtual appointments Prepare for virtual meetings with clients through Zoom by completing company background...

Jovie of CA, WA, and MN

Compassionate Respite Nanny Job at Jovie of CA, WA, and MN

...crafts, and similar activities in families' homes Childcare or nanny experience preferred Special needs experience in any capacity... ...weekends Reliable and insured transportation is required to travel to various family homes A cell phone with data to accept and...

Freeport-McMoRan

Senior NDT Technician Job at Freeport-McMoRan

...and their families can reconnect with nature through hiking, fishing, camping, hunting and numerous parks. The company offers several... ...-on mechanical maintenance repair/rebuild experience with industrial equipment (pumps, motors, gearboxes, pulleys, etc.) that includes...

Billing Accounts Receivable Analyst - Full Time - Days Job at Mohawk Valley Health System, Utica, NY

WFlQYStMTUgzc2FpTk5oZnNqVktiTmozamc9PQ==