abby-care - Revenue Cycle Management Associate
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Requirements
• High school diploma or equivalent (required); associate’s or bachelor’s degree in a related field (preferred). • Certification in medical billing and coding (e.g., CPC,CPB) is highly desirable. • 1-3 years of experience in medical billing, preferably in a home health care setting. • Strong knowledge of home health billing codes, insurance guidelines, and reimbursement processes. • Proficiency with electronic health records (EHR) and billing software. • Attention to detail and accuracy in data entry and documentation. • Excellent problem-solving and organizational skills. • Strong written and verbal communication skills. • Familiarity with Medicare and Medicaid billing guidelines specific to home health. • Experience with claim submission platforms such as Medicare DDE and clearinghouses. • Knowledge of HIPAA regulations to ensure patient confidentiality.
Responsibilities
• Billing and Claims Submission: • Prepare, review, and submit accurate claims to insurance companies. • Verify and ensure the accuracy of billing codes (CPT, HCPCS, ICD-10) and modifiers for services rendered. • Maintain up-to-date knowledge of Medicare, Medicaid, and private insurance billing requirements specific to home health care. • Use billing software to process and track claims. • Accounts Receivable Management: • Monitor claim status and follow up on unpaid or denied claims promptly. • Investigate and resolve claim discrepancies, denials, and appeals. • Generate reports for outstanding accounts receivable and payment trends. • Compliance and Documentation: • Ensure all billing practices comply with federal, state, and local regulations. • Verify patient insurance information, eligibility, and prior authorization requirements. • Maintain accurate records of billing activities and patient accounts. • Communication and Coordination: • Collaborate with office staff, and payers to address billing and reimbursement issues. • Respond to inquiries from payers, patients, and colleagues in a professional and timely manner.
Benefits
• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus. • Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance. • Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays. • Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered). • Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.
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