Description

GENERAL SUMMARY

The Accounts Receivable Billing Specialist is a motivated individual that ensures accurate and timely posting of payments for our home health, personal services and hospice services. The Accounts Receivable Billing Specialist is responsible for making sure payments are based off our specific contracts.

Essential Duties and accountabilities

· Ensures timely, accurate posting of commercial payments for home health/hospice & personal services

· Make solid judgment and adhere to all policies ensuring the protection of confidential information related to patient demographics, medical information, diagnosis codes, PHI according to both internal and Federal HIPPA regulations and guidelines

· Retrieves electronic remittances (MyAbility, Via ZirMed and other electronic avenues)

· Conducts research for outstanding claims (Correct insurance, PCR, Proper payment according to contract)

· Initiates adjustment and write off request

· Run daily, weekly, monthly reports as required

· Medical Record requests

· Assist with insurance verification

· Assist with authorizations

· Assist the Commercial and Medicare Billing Specialist

· Assist with maintaingin physicians licenses

· Assist with PCR

· Ensures effective ccommunication and positive working relationships with personnel from all areas of the agency to maintain coordination of interrelated activites

· Performs job in compliance with agency policies and procedures and according to accepted standards of practice

· All other duties as assigned

SPECIAL SKILLS AND ABILITIES REQUIRED

· Knowledgeable user of computer systems and application to include Microsoft Word, Excel, Power Point, Healthwise and email

· A keen eye for details

· Ability to work methodically and meet deadlines

· Organization and time management skills

· Ability to maintain flexibility in meeting department and individual workload demands

EDUCATION

· High School diploma or GED

EXPERIENCE

· 2+ years of proven experience working in depth with Manage Care, Medicare, Medicaid and other regulatory programs

· Demonstrate knowledge of appropriate skills for communicating with all individuals through verbal and written tools

COMPETENCIES

· Build Credibility and Trust

· Collaborate with Others

· Demonstrates interpersonal understanding and utilizes effective communication skills

· Deliver Results

· Analyze Problems and make decisions

· Demonstrate Resilience

· Learn Continuously

Degree of Travel

· Occasional

Safety Hazards in Job

· Limited – eye strain and repetitive motion strain from computer use

WORKING CONDITIONS: (Includes information essential for successful job performance).

PHYSICAL DEMANDS	NEVER	OCCASIONALLY	FREQUENTLY	CONTINUALLY
Sit			X
Stand			X
Walk			X
Bend/Stoop			X
Squat			X
Crawl		X
Climb		X
Reach Above Shoulder Level			X
Kneel			X
Balance			X
Lift, Carry, Push, Pull
Maximum 10 Lbs.			X
Maximum 20 Lbs.			X
Maximum 50 Lbs.			X
Maximum Over 50 Lbs.		X
Must Be Able To
See				X
Hear				X
Speak				X
Use One Hand				X
Use Both Hands				X

Environmental Conditions	NEVER	OCCASIONALLY	FREQUENTLY	CONTINUALLY
Involves Being
Inside				X
Outside	X
Exposed to Temperatures of
32ûF and less	X
100ûF and more	X
Wet & Humid Conditions	X
Noise, Vibration	X
Fumes, Dust	X

Hazards, Exposure	NEVER	OCCASIONALLY	FREQUENTLY	CONTINUALLY
Infectious Wastes	X
Toxic Chemicals	X
Needles/Body Fluids	X
Radiation	X
Chemotherapeutics	X

Occasionally = 1% to 33% of the time Frequently = 34% to 66% of the time

Continually = 67% to 100% of the time

Summary

About Us

Why work for Central Pyramid and Affiliates?

We provide our employees with an atmosphere that will encourage them to develop their talents to their highest potential. We provide support to our employees nationwide who provide care to those in need of home health, hospice, or personal services. Join our Team to provide inspired support for our staff. We offer a welcoming professional team approach to support our field and to allow our clinicians to care for patients.

Wondering what amazing benefits we can offer you?

Full-Time Benefits

· Medical - We offer three options including PHCS PPO Plan, PHCS HSA Plan, or Preventive Plus.

· Dental and Vision - Take advantage of our Delta Dental and VSP plans!

· 401k Match - We offer a very generous 401k match!

· Paid Time Off - You will begin earning paid time off from day one! The annual average for paid time off accrual is 18 days per year to start.

· AFLAC - You can access short term disability, accident, and cancer policies through AFLAC.

Part-Time & PRN Benefits

· Medical - Part-time and prn staff are offered Preventive Plus Plan coverage.

· 401k Match - If you average over 1000 hours per year, we offer a very generous 401k match!

· AFLAC -You can access short term disability, accident, cancer policies through AFLAC.