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Job description
Join Our Fun and Winning Team!Seeking experienced home care/home health care biller. Please do not apply unless you have at least 1 year experience.We offer our At Home Care family:Medical, vision, dental and life insuranceDirect depositTop pay wage scalePaid time off and holiday payPaid travelJob Purpose: The Medical Biller, under routine supervision, performs all duties related to preparing and submitting medical insurance claims. This position reviews and adjusts accounts to ensure appropriate claim billing, including interacting with third parties and participants, processes, research, corrects accounts, posts payments, and adjustments, and interprets Explanation of Benefits (EOB) documentation.Job Description:Prepares and submits clean claims to various insurance companies either electronically through EMOMED or the payer portal.Aides in the use of the Electronic Visit Verification (EVV) systemProcesses medical claims by a billing clearinghouse or by paper.Work with the Revenue Cycle Management team to address visit exceptions, post charges, and submit claims in a timely mannerResolve claim denials and errors will be essential in maintaining the financial health of the organizationFollow up on outstanding accounts using Aging Reports, EOB's (Explanation of Benefits), and/or other correspondence, ensuring compliance with HIPAA regulations throughout the processWork visit exceptions daily in software fixing the issuePost charges weeklyUnderstand Medicaid, Managed Medicaid and Commercial Insurance regulationsRecognize and work claim denials and errors and know timely filing for each payerRecognize payment errors (using payer contracted rates)Gathers insurance billing information by reviewing patient EVV records; checking for completeness.Bills carrier by inputting billing information to database; initiating electronic transmissions.Process claims as they are paid and credit accounts accordingly.Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims.Resolves discrepancies by examining and evaluating data; selecting corrective steps.Adjusts patient bills by reviewing remittance advice; consulting with payer.Monitor payor claim acceptance and response timeliness.Escalate claims for potentially payor relations bulk resolution.Ensure proper charge capture, billing, and adjudication of claims per federal, state, and private billing guidelines.Qualifications:A minimum of 1 year of experience in healthcare billing or medical office settings, with a preference for Missouri Medicaid experience and Electronic Visit Verification (EVV) Homecare softwareAbility to effectively manage workload in a high-volume environment, strong attention to detailWorking knowledge of PC applications (Microsoft Office Suite- Excel, Word)Strong ability to compute percentages and basic math functionsEffective oral, written, and interpersonal communication skills
Worksite address
saint louis, MO, 63135, US
Who can apply
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