Patient Accounts Rep - Homecare
Responsible for accurate, timely billing and claim payment collections.
Review/resolve denied/unpaid claim within timely filing guideines for:
Accurate & complete coding
Accurate & complete patient information (demographics, insurance coverage, required auths)
Submission of claim appeals to secure payment via website, phone, written or other payor tools e.g. Navinet
Analyze/identify trends in claims processing to reduce denials and variance in payments
Generate system reports to track your productivity including month end A/R
Escalate all billing issues to management that impact payment resolution of claims
1-3 years billing A/R experience in a medical organization intensely dealing with insurance companies, Home Healthcare experience is a plus.
History of critical thinking and analytical judgement in trouble shooting claim problems
Be resourceful, able to function independently and provide ideas to expedite processes in AR challenges
EMR software - minimum 1 year experience - EPIC preferred
Computer skills including Microsoft Office (Word, Excel)
Familiar with medical/AR terminiology
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