Home Care Medicare Billing Specialist

Matrix Home Care is seeking a Experience Home Care Medicare Billing Specialist to join our West Palm Beach location.

Qualifications:

Must have 2-3 years of experience working in direct claim collections in Home Care Medicare Billing

Familiarity with ICD-10, HCPC and CPT-4 coding modifiers

Experience preparing, reviewing and transmitting claims using billing software, including electronic and paper claim processing

Working knowledge of insurance carriers' payment regulations including various reimbursement schemes, coinsurance and deductibles and contractual adjustment

Knowledge of Medicare RCD procedures

Knowledge of CMS, AHCA Compliance

Job Description

• Maintains comprehensive working knowledge of government billing regulations and managed care contract requirements for Hospice billing
• Adept at utilizing organization electronic billing systems
• Engage in creative problem solving to understand issues and find solutions
• Ability to meet deadlines
• Demonstrates ability to adapt to daily departmental needs as changes occur
• Ability to coordinate multiple tasks simultaneously
• Demonstrates ability to utilize Microsoft Office products to include Excel Spreadsheets
• Ability to maintain all required HIPAA privacy laws as it relates to this position
• Good communication and interpersonal skills
• Responsible for managing accurate, timely completion and submission of multiple third party payers including, but not limited to, Medicare, Medicaid, commercial carriers and self pays as well as collections and accounts receivable functions respectively
• Ensures reimbursement through efficient, accurate and timely billing process for effective accounts receivable management
• Work pre-billing report for assigned payers in preparation for month end close
• Generates claims for submission to payers in accordance with established schedule
• Utilizes technology to manage clearinghouse and payor accept/reject submissions and reports timely
• Responsible for accurate posting of cash payments and preparation of cash balancing process
• Reviews A/R reports and researches unpaid claims
• Takes necessary steps to collect unpaid claims and address credit balances
• Provide reports to the Patients Account Manager as needed
• Process correspondence and telephone calls from all payors regarding claims
• Complete appeals on underpaid claims to the payer
• Identify, prepare and submit patient account adjustments to Billing Supervisor
• Assist as needed with payer authorizations and verification as required and completed documentation
• Protects the confidentiality of patient and organization information through effective controls and supervision of billing operations
• The incumbents may be requested to perform job-related tasks other than those stated in this description.

Job Type: Full-time

Pay: $22.00 - $23.00 per hour

Expected hours: 40 per week

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Schedule:

• Monday to Friday

Work setting:

• Office

Ability to Relocate:

• West Palm Beach, FL 33409: Relocate before starting work (Required)

Work Location: In person