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In Home care Office Certified Biller and Payroll-Experience using Availity RCM
Location:
Fayetteville, GA
Description:
Payroll/Billing – (Must be able to utilize Availity) Fayetteville, GASanzie Healthcare Services Inc is looking for an In-home care Billing and Payroll Accounting Clerk . The Biller/Payroll Accounting Clerk position is responsible for billing, collecting, posting and managing account payments. The ideal candidate will be required to investigate claims issues and staying afloat of account receivables. A strong background in medical billing, with the skills necessary to improve our current billing procedures and collecting on patient accounts. Responsibilities include: Understands and adhere to established SHCS policies and Procedures Assist with recruiting, associate hiring, orientations, in-services, disciplinary actions, etc. Perform payroll duties including verifying time sheets and/or Telephony processing. Computer input of time sheet/Telephony changes for payroll processing. Preparing and submitting claims to various insurance companies electronically Enters new employee data into the payroll and process payroll Resolving unpaid claims identified on aged A/R and various other reports, and also for reviewing and responding to all billing-related correspondence Denial trends are researched and root causes are identified and reported to the Administrator for resolution Company Payroll Answering and triaging calls from caregivers, clients, insurance companies and prospects Identifying and resolving insurance/patient billing complaints Assisting in recruiting on various job boards Sending MIF, CCNF and calling VA regarding any expired Prior Authorizations Preparing, reviewing and sending patient statements Ensuring all documents are submitted for proper billing: insurance verification forms, office notes and encounters/superbills Reporting delinquent accounts to the Administrator & CEO Performing various collection actions including contacting Clients by phone, correcting and resubmitting claims to third party payers Participating in educational seminars and staff meetings (monthly or weekly) Maintaining strictest confidentiality and adhering to all HIPAA guidelines and regulations Such other tasks as the company may require and/or as needs evolve Generating, reviewing and transmitting claims Payment Posting- Mail & ERA's Provide customer service regarding billing & collection issues, process and review account adjustments, resolve client discrepancies and short payments. Follow up on submitted claims to ensure payer acceptance. Review rejected and/or denied claims, make corrections and resubmit clean claim within the required time frame Review EOB's/ ERA's for any missed opportunities Follow up on aged accounts receivables through final resolution Balance bill secondary, tertiary insurance as well as patients Follow up on payment errors, over-payments, low reimbursements, rejections and denials Insurance verification Other duties as assigned based on billing, payment posting, demographic entry, to ensure company goals are met and a team environment is maintained Maintain the confidentiality of the medical information contained in each record. Recording, monitoring and processing Company QuickBooks. Reviewing timesheets Review the clients Pre authorized units/hours and dates given by Medicaid, VA, Private pay etc. are placed correctly on axiscare. Review and approve timesheets and payroll information of assigned staff -Check each employee Time sheets, member form and Progress note to reflect axiscare. Input the correct hours on the excel and process payroll and timesheets by the company pay period. Key Requirements: Ability to research unpaid claims, determine and correct cause, follow up as needed. Ability to appeal/rebill underpaid or denied claims within payer deadlines. Knowledge of CPT, HCPCS and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans). Should be proficient with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems (Availity and MMIS experience a big plus!). Must have a minimum of 3 years of comprehensive medical billing/collections experience with multiple specialties and a well-rounded understanding of the entire Revenue Cycle process. Commitment to excellent customer service a must Excellent written and verbal communication skills Ability to prioritize and manage multiple responsibilities HIPAA Compliant Working Hours/Salary: Part-time; Compensation to be determined upon review of credentials and experience.Hours 9.00 am- 6:00 pm Monday - Friday. Required experience/ education: 3+ years' experience in medical billing, posting charges, insurance verification, payment posting, filing professional claims, & ICD-10 Certification not required, but is a plus Associate Degree or equivalent Proficient in billing software Availity and MMIS software Strong analytical skills Experience in medical terminology, accounts receivable, insurance collections and billing Experience with HIPAA standards and compliance programs Knowledge of medical billing/collections practices Knowledge of computer programs Ability to operate a computer, basic office equipment and a multi-line telephone system Knowledge of basic third party operating procedures and practice Knowledge of Medicare/Commercial Payors and Workers Comp Skill in answering a telephone in a pleasant and helpful manner Strong organization, oral/written communication and public relations skills Ability to maintain effective working relationships with patients, employees and the public Job Type: Full-timeRequired education: Associate degree or equivalent Certified Biller and Payroll Clerk Required experience: In home care billing experience : 2 years Medical Billing: 2 years Payroll Experience: 2 years Job Posted by ApplicantPro
Company:
Sanzie Healthcare Services
Posted:
August 26 on ApplicantPro
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More About this Listing: In Home care Office Certified Biller and Payroll-Experience using Availity RCM
In Home care Office Certified Biller and Payroll-Experience using Availity RCM is a Accounting & Finance Billing Specialist Job at Sanzie Healthcare Services located in Fayetteville GA. Find other listings like In Home care Office Certified Biller and Payroll-Experience using Availity RCM by searching Oodle for Accounting & Finance Billing Specialist Jobs.
In Home care Office Certified Biller and Payroll-Experience using Availity RCM is a Accounting & Finance Billing Specialist Job at Sanzie Healthcare Services located in Fayetteville GA. Find other listings like In Home care Office Certified Biller and Payroll-Experience using Availity RCM by searching Oodle for Accounting & Finance Billing Specialist Jobs.