Medical Biller – Accounts Receivable Specialist

Job not on LinkedIn

🔥 2 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $20 - $25 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

💰 Accounts Receivable

🚫👨‍🎓 No degree required

👻 Ghost score 0%

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Angels In Your Home

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 Non-profit

Healthcare • Healthcare Insurance • Non-profit

Angels In Your Home is a Licensed Home Care Service Agency (LHCSA) providing essential support and assistance to families in need. Based in Rochester, NY, the company also offers the Consumer Directed Personal Assistance Program (CDPAP), ensuring personalized care and attention for its clients.

📋 Description

• Prepare, review, and submit accurate and timely claims for home care services • Review authorizations, plans of care/service information, schedules, timesheets, EVV records, and supporting documentation before billing • Verify billed units, dates of service, service codes, rates, authorizations, and caregiver/service documentation • Monitor submitted claims through adjudication and payment • Post and reconcile payments, remittance information, adjustments, denials, and other account activity • Maintain and reconcile accounts receivable, including outstanding, unpaid, underpaid, denied, and rejected claims • Identify billing discrepancies and work with internal departments to obtain corrections or missing documentation • Research and resolve claim denials, rejections, underpayments, authorization discrepancies, and reimbursement issues • Correct and resubmit claims when necessary and follow up until claims are resolved • Communicate with Medicaid Managed Care Plans, insurance companies, payer representatives, and other funding sources • Review payer remittance information and identify discrepancies between expected and actual reimbursement • Assist with collections and follow-up on outstanding balances and aged accounts receivable • Maintain accurate billing records and supporting information in accordance with agency policy and payer requirements • Ensure billing practices comply with Medicaid, managed care, EVV, payer, HIPAA, and agency requirements • Maintain confidentiality of patient, employee, payer, and agency information • Stay informed of payer updates, billing requirements, reimbursement changes, and process changes • Collaborate with scheduling, intake, payroll, clinical, compliance, and administrative staff • Assist with billing reports, account reconciliation, audits, and other billing or accounts receivable functions

🎯 Requirements

• Prior experience in medical billing, healthcare billing, home care billing, accounts receivable, or claims processing • Experience working with insurance claims, payer reimbursement, denials, collections, and accounts receivable • Strong understanding of the billing cycle from service documentation and claim submission through payment, denial resolution, and reconciliation • Strong analytical and problem-solving skills with excellent attention to detail • Ability to identify discrepancies involving documentation, schedules, authorizations, units, rates, payments, and claims • Ability to independently research billing issues and follow claims through resolution • Strong written and verbal communication skills • Ability to manage multiple priorities, meet billing deadlines, and maintain organized and accurate records • Proficiency with Microsoft Office, particularly Excel and Outlook • High school diploma or equivalent required • 2+ years of medical billing, healthcare billing, or accounts receivable experience preferred • Prior home care or LHCSA billing experience strongly preferred • Experience billing New York Medicaid Managed Care Plans strongly preferred • Knowledge of Medicaid, managed care authorizations, EVV, claim submission, remittance, denial management, and reimbursement processes • Experience with HHAeXchange strongly preferred • Experience with EDI/837 claims, electronic remittance/835 files, clearinghouses, or payer billing portals is a plus • Associate degree or additional education/training in medical billing, healthcare administration, accounting, or a related field preferred