At Home Care Hospice · 20 hours ago
Billing Specialist - Infusion Pharmacy / Remote
United States
Full-time
Remote
Mid Level
3+ years expAmerita, Inc. is a leading provider in home Infusion therapy. The Billing Specialist will join the Revenue Cycle Management team, managing billing processes related to unbilled revenue and ensuring compliance with regulations.
Health CareWellness
Responsibilities
Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes and other departmental goals as outlined
Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing practices
Manage the Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines
Process confirmed tickets in "unworked" status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims
Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution
Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions
Participate in branch Ready to Bill conference calls
Identify patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets
Review delivery tickets for accuracy and complete claims per payer-specific guidelines
Submit secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed
Research websites of assigned payers to bill for payer updates and shares updates accordingly
Communicate consistently and professionally with other Amerita employees
Work within specified deadlines and stressful situations
Work overtime when necessary to meet department goals and objectives
Qualification
Required
High School Diploma/GED or equivalent required; some college a plus
A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Must have experience auditing documentation to insure compliance with payer requirements
Working knowledge of automated billing systems, experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills, typing 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
Preferred
Working knowledge of automated billing systems, experience with CPR+ preferred
Benefits
Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts
Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance
401(k) Retirement Plan with Employer Match
Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability
Employee Discounts
Tuition Reimbursement
Paid Time Off & Holidays
Company
At Home Care Hospice
AT Home Care is owned and operated by caring individuals with over 40 years of Health Care and Clinical expertise, and is the largest independent home health care agency in Virginia.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase