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Appalachian Regional Healthcare (ARH) · 1 month ago

Home Health Billing Specialist

United States

Full-time

Remote

New Grad, Entry Level

0+ years exp

Appalachian Regional Healthcare (ARH) is seeking a Home Health Billing Specialist who will be responsible for managing accounts and processing payments. The role includes cash posting, reconciliation, billing follow-up, and ensuring compliance with financial reporting regulations.

CharityHealth CareMedicalNon ProfitOncology

Responsibilities

Payment Posting: Accurately post payments received from various sources, including checks, electronic transfers, and credit card payments. Maintain and work unapplied cash and post legacy cash, review adjustments for accuracy, and obtain approvals where appropriate

Reconciliation: Reconcile posted payments with bank deposits and statements, ensuring proper allocation and resolution of discrepancies

Reporting: Prepare regular reports on cash receipts, outstanding balances, and aging accounts

Collaboration: Liaise with other departments, such as accounts receivable, billing, and customer service, to resolve payment-related issues and improve cash flow processes

Compliance: Ensure compliance with regulatory requirements and internal controls related to cash handling and financial reporting. Assist with internal and external audits by providing documentation and supporting evidence as needed

Initiate correction on all claims with errors by the designated time

Follow up on any correspondence that may have been received on that day or the previous day

Cross train on billing all lines of business to the different payers

Pull listing of all accounts assigned to be follow up by specific payer

Diagnostic and procedural coding

Responsible for the resubmission of primary, secondary, and tertiary claims per respective regulations and policies

Communicate with third-party representatives as necessary to complete claims processing and /or resolve problem claims

Follow-up daily on post processing activity including but not limited to, rejected billings, adjustments, and rebilling, and denied claims for accounts

Maintain accounts receivable detail of their accounts through tasking

Maintains standards per payer for percentage accounts >90 days

Works minimum standard number of accounts per payer per day

Meets or exceeds collection goals by payer each month

Works all assigned accounts as assigned, depending on balance

Complete appeals as required

Works all assigned accounts as assigned, depending on split

Participates in educational activities and attends monthly department staff meetings

Maintains confidentiality: adheres to all HIPAA guidelines/regulations

Other duties as assigned from time to time

Attend educational activities and monthly department staff meetings

All other issues as assigned

Qualification

Cash postingAccounting / ReconciliationCPTICD-9 codingMedical terminologyBasic computer proficiencyTyping speed 40 WPMAuditingCommunication skills

Required

High School Diploma or GED

Six months previous experience in registration, cash posting, billing and collections, financial counseling, or customer service preferred

Basic computer proficiency

Typing speed: minimum 40 WPM

Cash posting

Auditing

Accounting / Reconciliation

Good written and verbal communication skills are essential for account follow-up

Preferred

Knowledge of medical terminology preferred

Familiarity with CPT and ICD-9 coding is helpful

Company

Appalachian Regional Healthcare (ARH)

Appalachian Regional Healthcare (ARH), the Healthcare System of Appalachia, and ranked as one of the Top 10 Employers in Kentucky by Forbes Magazine, is a not-for-profit health system operating 13 hospitals in Barbourville, Hazard, Harlan, Hyden, Martin, McDowell, Middlesboro, Prestonsburg, South Williamson, West Liberty and Whitesburg in Kentucky; as well as Beckley and Hinton in West Virginia, as well as multi-specialty physician practices, home health agencies, home medical equipment stores and retail pharmacies.

Founded in 1956

Barbourville, Kentucky, USA

5001-10000 employees