Medical Billing Representative

Company Overview: True Care is a licensed Home Care Agency providing outstanding homecare service in the New York Metropolitan area. Our passionate dedication to our clients sets True Care apart. We work with our clients individually to ensure their satisfaction and comfort with the paraprofessionals caring for them. It is our mission to continue to raise the standard of homecare services. We are committed to providing the highest level of care by maintaining excellence in staff, procedures, and responsiveness. The True Care team is Healthcare professionals who are committed to helping our patients and caregivers experience the most excellent care.

Position Title: Medical Billing Representative

Reports To: Billing Department Manager

Job summary: The Billing Representative creates, reviews and processes our billing and payments. The Billing Representative generates weekly invoices for services rendered to authorized clients using online portals and electronic resources for improved timing and efficiencies. He/she follows up on all claim denials and ensures payment for billed services.

Responsibilities include:

• Conduct weekly billing & electronic billing for assigned contracts
• Closely reviews all billing information for accuracy and submits all billing information to the correct parties
• Process payments received and relays pertinent information to the appropriate parties as required
• Responsible for keeping up with the agency's weekly billing cycle, follow up on all claims and ensure that billed visits are paid
• Ensure accuracy by routinely running reports to locate potential discrepancies
• Work in a collaborative manner with the Finance Department to resolve outstanding billing issues
• Investigate denied claims and procure necessary documentation to provide to the contracts for re-processing denials
• Communicate with appropriate departments to advise change in service requirements based on payments or denials
• Collaborate with authorizations and intake teams regarding patient eligibility needs based on payments or denials
• Ensure adherence to HIPAA regulations
• Follow agency policies and procedures
• Performs other duties as assigned

Job requirements:

• High School graduate or equivalent or degree in business administration, accounting or a related field a plus
• Prior billing experience, knowledge of ICD 10 codes; understanding of revenue codes and units
• Work experience in accounting.
• Experience in ePACES is a plus
• Excellent customer service skills and phone etiquette
• Computer literate with working knowledge of basic office software technology.
• Extremely detail oriented, good auditing eye and ability to review a document for certain key elements
• Patience and calm demeanor to deal with difficult scenarios.
• Positive and upbeat attitude

True Care provides equal employment opportunities to all employees and applicants for employment without regard to race, religion, color, ethnic origin, gender, gender identity, age, marital status, veteran status, sexual orientation, disability, or any other basis prohibited by applicable federal, state, or local law.