Billing Specialist

Description

Position:
Billing Specialist

Pay: $18.50 / hr.

- $20.00 /hr Depending on experience

The Billing Specialist is responsible to generate and bill clean claims, as well as, for follow-up of timely and accurate payments of patient accounts.

At Caris, you will have a career, not just a job. Our mission driven culture is evident by our current employees and the impact made on patients and families. All Caris team members commit to The Better Way, a list of promises we make to each other and our customers. The Better Way commitment is reflected in the benefits we provide.

Benefits include:

• Competitive Pay
• Eligible for benefits within 60 days
• Health Benefits (Medical, Dental, Vision); health savings account
• Earned Time Off
• 401 (K) plan with company match
• Paid Training
• Mileage Reimbursement
• Tuition Reimbursement
• Flexible Scheduling
• Career Advancement Opportunities

• Prepares and maintains patient billing files.
• Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program.
• Participates in the quality program (IOP).
• Reviews and edits claims prior to billing to ensure accurate and clean claim submission.
• Meets all billing and accounts receivable deadlines.
• Prepares and distributes unsubmitted billing list to appropriate personnel weekly.
• Reviews all remittance advices for contractual adjustments, withholds and bad debt. Attaches documentation for justification, as needed.
• Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary.
• Documents all accounts receivable follow-up and maintains in patient billing file.
• Prepares and bills Medicare Secondary Payer claims through the Fiscal Intermediaries direct data entry program.
• Reviews and edits claims in claims correction section of on-line system to ensure on-going processing for payment via direct data entry, daily.
• On a quarterly basis and upon signature by the Director of Operations/Reimbursement, prepares and sends to Fiscal Intermediary Medicare, credit balance reports for each Hospice office.
• Responsible for taking and processing of referrals, when needed.
• Responsible to supervise Billing, Referral Intake and Scheduling personnel in the absence of the Director of Operations/Reimbursement
• Maintains branch locations monthly unbilled if assigned.
• Reports any ADR’s to Compliance Officer and Regional Director of Clinical Care.

High school graduate or the equivalent preferred.

Must be experienced with PC s and be familiar with common office software, such as Microsoft office and spreadsheets, etc.

Must be well organized and detail-oriented.

Must be able to communicate articulately and comprehend written and verbal communications.

If you see yourself a good fit and want to join our team apply today! Caris is an affiliate of NHC. Caris / NHC is an Equal Opportunity Employer.