Home Health Billing & Collection Specialist

Position will be remote, but some in-office hours are possible. Candidate will ideally reside in Ohio.

About the role

As a Home Health Billing and Collections Specialist, you will perform daily billing and collection operations for the Home Health Revenue Cycle Department. The specialist ensures that patient accounts are handled in compliance with Interim Healthcare’s policy and regulatory standards.

Responsibilities

• Initiate and maintain complete and accurate patient billing records while maintaining confidentiality to ensure regulatory compliance with state and federal laws.
• Identify and implement system enhancements related to industry trends to improve overall performance and outcomes.
• Accurate cash posting and balance monies received from insurance plans by the end of each month.
• Track and process all over-payments/under-payments to ensure collection of balances owed/received are precise and appropriate.
• Maintain proper payment of all state/federal revenues to ensure the correct rates have been paid, following federal regulations.
• Accurately process payments to Nursing Facilities for patients with Medicaid, coordinating all admissions, deaths, bed hold days, transfers, and discharges.
• Bill all insurance plans for denials and/or collection of payments while maintaining timely filing of all insurance plans.
• Maintain a positive relationship and work cooperatively with nursing homes, health information departments, accounts payable departments, and other providers to ensure quality service, quick response time, and accurate payments.
• Review monthly aging for trouble spots and past due accounts, run month-end billing processes, and reconcile to improve cash flow to the organization.
• Monitor and maintain days in AR at or below 60-90 days to ensure cash flow, evidenced by a monthly review of AR with a 90% success rate, and report any issues to the Revenue Cycle Manager.

Requirements

• Associate degree (Bachelor’s Degree preferred) in a related field or equivalent education, training, and experience.
• Minimum 3-5 years’ experience in home health billing.
• Recent experience working with popular home health billing software.
• Knowledge of DDE is a must.
• Experience in private pay, all home health payors, and a strong medical collection background.
• Ability to take on new tasks easily.

Benefits

• Competitive pay and benefits.
• Daily Pay option available.

Schedule

Full-time, Monday through Friday, 8:30 am – 5:00 pm. Remote with some possible in-office hours.