Accounts Receivable & Billing Specialist (Home Health)

At Transition Home Healthcare and Pathways Hospice our associates are our most valuable asset. Each associate provides a service that directly or indirectly affects patients families other team members and the public. We strive to excel in providing the highest quality healthcare and customer service possible which is incumbent upon the excellence and commitment of our leaders and caregivers.

We are looking for a self-driven organized individual who understands that in order to provide outstanding customer service to our patients we must ensure that they have a great experience from the start!

Accounts Receivable & Billing Specialist - (Home Health & Hospice)

Onsite - Houston TX 77081

We Offer:

• Competitive Pay
• Generous Paid Time Off (PTO) and Holidays
• Medical
• Dental
• Vision
• Life insurance & LTD/AD&D insurance
• Short-Term Disability
• Supplemental Insurances (Hospital Indemnity Cancer Policies Legal Plans & More!)
• 401(k) w/match

Responsibilities:

• Ensure reimbursement through efficient billing and collections operations and effective accounts receivable management.
• Ensure billing and patient accountrecords are updated in multiple EMR systems timely and accurately. Document all follow-up and necessary information in reference to the patient account.
• Work aged accounts receivables resubmit bills on overdue accounts and submit significantly delinquent accounts to supervisor for further collection.
• Gather collate and report key billing information to the Director of Revenue Cycle Management.
• Understand the billing information system and maintain comprehensive working knowledge including upgrades and enhancements.
• Establish and maintain positive working relationships with patients family memberspayorsand referral sources.
• Maintain comprehensive working knowledge of insurance company and authorization requirements.
• Has knowledge ofpayor contracts and ensurespayors are billed according to contract provisions.
• Protect the confidentiality of patient and organization information through effective controls and direct supervision of billing operations.
• Complete other tasks as required and designated by supervisor and/or administrator.

Qualifications:

• Minimum one (1) year of experience with billing processes AR prior authorizations and billing systems in home health/hospice.
• Knowledge of different insurance and HMO plans and ability to research complex issues.
• Working knowledge of insurance(s) for home health authorization and appeals requirements.
• Proficient level experience in Microsoft Office (Word Excel PowerPoint Outlook).
• Experience with Homecare Homebase (HCHB)EMR
• Strong communication and interpersonal skills.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race color religion age sex national origin disability status genetics protected veteran status sexual orientation gender identity or expression or any other characteristic protected by federal state or local laws.

Required Experience:

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