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Billing Specialist, Home Healthcare Center

  • Category: Part-time or Full-time
  • Location: Elmira, NY
  • Status: Accepting Applications
  • Posted: 8/22/2018

Job Description:

Overall:  Must be an enthusiastic candidates who truly loves helping people!  Must be passionate about their job.

  • Duties include:
    -Providing exceptional customer service by:
    -Processing Insurance Verification and Eligibility Reviews for Requested Services and Equipment
    -Identify deductible, coinsurance, and copay amounts
    -Identify the need for prior authorization of products and services requested
    -Obtain the necessary documentation and file appropriate forms to process authorization requests
    -Once approved, enter order request into system and outline coverage
    -Ensure all proper billing methods are followed by:
                 -Obtain all required documentation and completed prescriptions prior to submitting a claim
                  -Ensure that the customer has received the requested items prior to submitting a claim
                  -Ensure proper prescription refills and renewals are obtained prior to submitting a claim
                  -Ensure all proper compliance data is obtained as appropriate prior to submitting a claim
                  -Ensure optimal Cash flow by:
                                ~Working denials, Working Accounts Receivables, Working held orders reports
                                 ~Sale DME equipment and supplies
    Other duties include:
               -Set up new customer files/ Scanning Patient Files
               -Answering phones Complete and accurate Intake 
               -Saturday and/or on-call rotation as needed by the branch
    Other duties as assigned

    - High School Education or GED at minimum
    - Experience with Medical Billing, Insurance Verification, and Authorization Processes preferred
    - Willingness to learn and take initiative
    - Proficient with basic software applications (Word, Excel, Outlook)
    - Basic cash and report reconciliation
    - Highly organized
    - Enthusiastic
    - Candidates must be able to successfully pass background check.

    Must-have qualities:
    - High level of attention to detail
    - Exceptional communication skills
    - Team collaboration
    - Sales team interaction
    - Positive influence on teammates
    - Innovation and thinking outside the box
    - Multi-tasking
    - Flexibility
    - Able to manage multiple priorities and close the loop when interrupted
    - Must maintain a high level of internal customer service
    - Problem solving and conflict resolution

    Working Environment:
    - Constant communication with multiple staff
    - Constant communication with insurance companies
    - Occasional communications with customers in person and on phone as well as with other team members
    - Must be able to work phone, fax, computer, printers
    - 90% of time spent sitting in back office environment on computer and on phones, 10% assisting customers in retail environment
  • - Two Saturdays per month required