JOB DESCRIPTION SUMMARY

The billing/collections clerk is responsible for the accurate and timely completion and submission of Medicare, Medicaid, private payer and patient billing, and accounts receivable tracking and follow-up. Home Health, Hospice, Physician, Private Duty Nursing, and Personal Assistant Services / LTSS billing experience required.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

• Accurately enters patient billing data into the information system.

• Performs verification of eligibility and authorization for services provided.

• Process and bills Medicare, Medicaid, private payer and patient claims in accordance with payer requirements and organization policy.

• Monitors accounts receivables, resubmits bills to overdue accounts, and alerts the billing manager of seriously overdue accounts.

• Post all payments, adjustments, and denials from third party payer paper or electronic remittances.

• Assists in the preparation of monthly billing and accounts receivable reports.

• Establishes and maintains positive working relationships with patients, payers, and other customers.

• Maintains the confidentiality of patient and organization information at all times.

• Performs other specific projects relating to billing, data entry, and computer operations as required.

The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job related tasks other than those stated in this description.

Experience, Education and Training Minimum:

High school graduate or GED; 2 years’ experience in medical billing with Medicare Part A&B, Medi-Cal, Texas Medicaid, and other third-party payers required. 2 years’ experience in medical billing for Private Duty Nursing and Personal Assistant Services / LTSS required. Experience with ICD-10, Microsoft Office, Word, Excel, Teams, and Outlook.

Preferred experience working within the following software systems:

· HHAeXchange and other EVV software systems,

· Kinnser (WellSky)

· MUMMS

· Netsmart

Job Type: Full-time

Pay: $16.00 - $18.00 per hour

Benefits:

• 403(b)
• Dental insurance
• Disability insurance
• Employee discount
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• 8-hour shift
• Monday to Friday