Pd-Home Health Billing Assistant

General Responsibilities:

1. Greet and screen visitors as they enter the Agency and address their needs in a timely manner.

2. Answer phone calls in a courteous and professional manner. Route calls and deliver messages in a timely manner.

3. Deliver and pick up at various location types of correspondence, medical documentation, and supplies, as needed

4. Keep front lobby and work room organized and functional.

5. Responsible for copying and organizing Agency forms, documents and other items, as needed.

6. Open and sort mail.

7. Provide effective communication to clients, their families, team members, and other health care professionals.

8. Demonstrate commitment and professional growth by participating in in-service programs and maintaining/improving competency.

Billing Responsibilities:

1. Maintain ongoing communication with the Private Duty Manager and the Billing Specialist to plan further follow-up for outstanding invoices and statements.

2. Assist in the billing process to review, check in documents, and perform clerical audit prior to final billing.

3. Perform functions under direction of the Private Duty Manager and Billing Specialist to prepare records for the billing team to release claims.

4. Handle billing tasks efficiently, processing credit card payments and managing long-term care insurance billing procedures.

5. Maintain accurate records to substantiate billing activities, ensuring compliance with regulatory standards and internal policies.

6. Address and resolve client inquiries and disputes related to billing, providing clear and concise explanations as necessary.

7. Communicate with insurance companies to track payment statuses, verify insurance benefits, and resolve any discrepancies.

8. Generate and send billing statements to clients on a regular basis, maintaining professionalism and clarity in communication.

9. Prepare reports on billing activities, ensuring completeness and accuracy of data for internal review.

10. Deliver designated documents to physician offices and/or for signatures. Return signed forms to supervisor, as needed.

Experience:

· (1) year experience in general office environment.

· 2-3 years prior experience in private duty home care billing preferred.

· Familiarity with credit card transactions and insurance billing processes.

Skills:

• Strong attention to detail and accuracy in maintaining records and processing billing information.
• Excellent verbal and written communication skills to interact with clients, insurance companies, and internal stakeholders.
• Ability to address and resolve client billing disputes effectively.
• Strong organizational and multitasking abilities to manage various billing tasks simultaneously.
• Proficiency in using home care EMR, billing software and MS Office Suite.

Education:

· High school diploma or equivalent.

Physical Requirements:

· Prolonged sitting, standing, and walking required.

· Ability to handle stressful situations in a calm and courteous manner at all times.

· Requires working under some stressful conditions to meet deadlines and Company needs.

Environmental/Working Conditions:

· Works primarily in an office environment.

· Some exposure to unpleasant weather.

Machinery/Tools/Equipment Requirements:

· Reliable transportation and auto liability insurance.

· Computer and basic office equipment.