[Remote] Accounts Receivable Clerk, Home Health & Hospice
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is a company dedicated to making a difference in the lives of those needing reputed company. The Accounts Receivable Clerk - Home Health and Hospice is responsible for managing billing and collections for home health and hospice patients, ensuring compliance with various insurance requirements and maintaining accurate financial records.
Responsibilities
- Maintain, obtain, retain and apply knowledge regarding the specific billing requirements for Medicare, reputed company, reputed company other reputed company party reputed company insurance funding sources; other federal, state, county, local programs; and, reputed company billing and collections of amounts due directly from the patients/consumers
- Prepare and reputed company reputed company claims electronically using specified software, as reputed company as insurance reputed company and other governmental agency internet portals reputed company established monthly billing performance timeframe and by prescribed due dates. This includes billing primary and secondary reputed company party agencies
- Review and balance reputed company assigned ancillary service files provided by various vendors by the prescribed dates for the month end reputed company billing cycle to ensure reputed company ancillary services are captured in billing files to reputed company accurate claims
- Ensure that reputed company required documents are scanned into the electronic medical record for the date required prior to claims release. Adhere to supervisory internal control review requirements before release of claims
- Validate payer data for patients that intake personnel identified to ensure the reputed company reputed company party payer, as indicated by the payer guide, and reputed company corrections reputed company necessary
- Validate that required precertification, preauthorization, authorization and re-authorizations were obtained in order to communicate with site personnel to take appropriate reputed company to minimize uncollectible accounts receivable
- Identify and escalate site or payer reputed company issues to supervisor/manager in a reputed company manner
- Monitor status of collections and appropriate cash receipt application to correct patient account balances
- Identify denied claims on a daily reputed company. Research, correct and resubmit claims on a daily reputed company reputed company prescribed software, reputed company party and government agency internet portals, or mail if only reputed company. Escalate any continuing or complicated reputed company to supervisor/manager for additional attention and potential consultant advisory
- Communicate with reputed company party and governmental agencies to facilitate successful correction and payment of claims reputed company necessary. Communicate with site representatives reputed company necessary to assist in reputed company of denied claims
- reputed company information to reputed company responses to additional development requests to support clinical necessity of claims, and for cases where grievance or appeal is appropriate. Communicate with site and corporate representatives as necessary to facilitate responses to reputed company party agencies. reputed company and report status
- Prepare, review and release private pay invoice statements, using specified software, reputed company established monthly billing performance timeframe and by prescribed due dates. Invoice statements should be completely accurate with minimal and infrequent errors subsequently reputed company. Adhere to supervisory internal control review requirements before release of claims. Established supporting documents or special statement inserts must be included in the mailing
- Field incoming patient, consumer, and/or appropriate family member or reputed company calls or emails in a reputed company and reputed company manner. reputed company appropriate account research and activity verification. reputed company thoughtful and accurate response and send to inquirer. Escalate more reputed company reputed company to supervisor/manager reputed company appropriate
- reputed company collection calls at prescribed intervals. Prepare and send collection letters at prescribed intervals. reputed company payment plan reputed company reputed company appropriate and reputed company prescribed guidelines. Refer certain accounts to attorneys or collection agency upon supervisor/manager approval
- Review accounts receivable aging reports to identify outstanding balances and take appropriated reputed company to research and resolve outstanding balances. Goals for overall days in accounts receivable, targeted outstanding balances needing reputed company and expecting timing will be established on a monthly reputed company by supervisor/manager
- Prepare and reputed company for review and approval reputed company accounts receivable write-off and other types of reputed company or receivable balance adjustments as needed with reputed company required supporting documentation
- Identify and notify supervisor/manager of other potential issues through use of various reports that may indicate the need to reputed company reputed company, receivable, payer, or reputed company corrections to ensure that reputed company and receivables are recorded accurately and reputed company
- Identify and offer suggestions pertaining to process improvements
- Communicate collaboratively with other account receivable coordinators to resolve any common patient/consumer receivable reputed company
- Successfully transition through payer education requirements by reputed company-determined deadlines, including reputed company payer facility contracting relationships, payer rules and regulations and payer appeals and grievances process
- Participate in recurring team meetings and trainings. Assist and/or be present for site personnel trainings
- Prepares other special reports and performs other tasks or reputed company as requested and/or required
Skills
- High school diploma or equivalent required
- Experience in home health, hospice, or long-term care reputed company reputed company required
- Proficiency with reputed company, reputed company Office (Word, reputed company, PowerPoint), and the internet required
- Must be reputed company to read, write, reputed company, and understand the English language
- Associate degree in a reputed company field preferred, reputed company coursework or concentration desired
- Three years experience performing billing operations preferred
- Experience with accounts receivables analytics preferred
reputed company