The Billing Accounts Receivable Analyst is responsible for processing all VNA/Home Care Services claims to primary and secondary payers promptly and accurately in order to promote financial stability within the organization. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.

Core Job Responsibilities

Responsible for all non-Medicare and Medicare paper and electronic billing.
Analyze payment methodology with the payer contractual agreements and the actual reimbursement to ensure accurate accounts receivables. Follow-up with payers regarding payments and/or denials. Challenge the payer when their remittance is not appropriate or justified.
Follow-up on all receivables including all co-pays, adjustments and denials.
Explain the accounting of the patient balance to the patient/guarantor.
Initiate and approve payment arrangements in accordance with established departmental policies and procedures.
Update patient payer system information.
Participate in appropriate agency meetings and quality improvement and utilization review activities of the organization.
Ensure that all information is kept confidential and respect the Patient’s Bill of Rights. Comply with all state and federal regulations regarding patient data and safety.
Performs related duties as assigned.

Education/Experience Requirements

REQUIREMENTS:

High School diploma or GED.
2 years of billing/corporate customer service experience.
Knowledge of billing for Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.
Excellent computer, verbal and written communication skills.

PREFERRED:

Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.

Licensure/Certification Requirements

Disclaimer

Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.

Job Details

Req Id 94611
Department BILLINGS CLAIMS
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule HRLY NON-UNION-LONG TERM CARE
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $18.50 - $25.00 Per Hour

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