Apply on Employer Site

Surpass Behavioral Health · 6 days ago

Home Health Billing Analyst I

United States

Full-time

Remote

Entry Level

1+ years exp

Surpass Behavioral Health is seeking a Home Health Billing Analyst I to support Billing Management in ensuring timely and correct claims are filed. The role involves monitoring claims, processing payments, and handling billing inquiries.

Health CareMental HealthTherapeutics

Responsibilities

Perform claim audit review for Medicare and PDGM Medicare Commercial

Work the Medicare/Medicare PDGM Claims Held workflow

Maintain responsibility for Oasis reports

Review unbilled reports for Medicare and Non-Medicare on a weekly basis

Bill Medicare/Non-Medicare claims on a daily basis

Review pre-post report to verify all visits have a usual and customary rate and contractual adjustment on a bi-weekly basis

Work Medicare/Non-Medicare claim rejections

Perform billing note entry on all outstanding accounts over 30 days

Make insurance calls to check status on outstanding claims

Process requests for additional information from Insurance Companies

Answer billing queue calls

Collect patient payments via the phone

Work monthly Medicare, Medicare, HMO, and 3rd-party agencies

Review Monthly SOX report to ensure every account over 30 days has a Billing note

Cover department when other employees are ill or on vacation

Duties may vary depending on which insurance team the employee is on

Comply with Company’s Core Values and Core Competencies

Perform other duties as assigned by supervisor

Qualification

Billing experienceEsolutions knowledgeWaystar knowledgeMicrosoft Office SuiteMedicare FSSO DDE softwarePatienceCommunication skillsAttention to detailFlexibility