Medicare Home Health Billing and Collections Specialist

Parx Home Care is looking for a talented Billing and Receivables Specialist to join our amazing team!

We are seeking a detail-oriented Home Health Billing Specialist for our home health and home care services. The ideal candidate will ensure accurate and timely submission of claims, follow up on outstanding payments, and maintain compliance with healthcare regulations. This role is crucial for optimizing revenue cycle management and supporting the overall financial health of our organization.

Responsibilities:

• Maintains compliance with applicable federal, state, and local rules and regulations.
• Consistently follows Agency policies and procedures to set an example for employees, as well as maintains communication with employees to ensure the understanding of policies and procedures.
• Claims Submission: Prepare and submit claims to Medicare, Medicaid, and private insurance companies in accordance with payer guidelines.
• Payment Posting: Accurately post payments, adjustments, and denials to patient accounts.
• Accounts Receivable Management: Monitor accounts receivable aging reports and follow up on unpaid claims to ensure timely collections.
• Billing Compliance: Ensure all billing practices comply with federal and state regulations and industry standards.
• Patient Inquiries: Address patient inquiries related to billing, insurance coverage, and payment options in a professional manner.
• Documentation Review: Review clinical documentation for accuracy and completeness to support billing processes.
• Collaboration: Work closely with clinical staff and operational team to resolve billing discrepancies and improve processes.
• Reporting: Generate and analyze billing reports to identify trends, discrepancies, and areas for improvement.
• Participation in mandatory in-services.
• Performs other necessary functions/duties as assigned by Senior leadership.

Requirements

QUALIFICATIONS:

• High school diploma or equivalent; an associate's degree in healthcare administration or related field preferred.
• Minimum of 2 years of experience in home health billing.
• Knowledge of Medicare, Medicaid, and commercial insurance billing processes.
• Proficiency in billing software and electronic health record (EHR) systems
• Strong attention to detail and analytical skills.
• Excellent communication and interpersonal skills
• Ability to work independently and as part of a team.

Benefits

• Health, Vision, Dental Benefits
• CVS Virtual Care: Accessible Care, when and where people need it; includes Mental Health Counseling
• 401K plus Employer Contribution
• Teladoc: 24/7 Doctor Support (phone or video)
• Voluntary Life Insurance
• Critical Illness, Group Hospital Indemnity, Accident Insurance
• LegalShield (Free Legal Advice)
• IDShield (Identity Protection)
• Pet Insurance
• Flexible Spending Account/Health Savings Account
• Commuter Benefits
• Employee Assistance Program/Health Concierge Services
• Working Advantage (Employee Discounts)

Our mission is to provide and restore client dignity and independence in their homes through individualized care plans to reduce caregiver role and stress on family members while avoiding nursing homes and assisted living facilities.

Parx Home Care, an affiliate of Ultimate Care , is a licensed home care provider located in Florida . We offer comprehensive home care services where we lead with our hearts to offer top quality and empathetic home care services.

At Parx Home Care, we recognize the pivotal role that home care plays in the overall patient care journey, offering a myriad of benefits for those seeking comfort, independence, and personalized attention. Our commitment is to create a familiar and secure environment within one's own home, fostering a profound sense of well-being. We understand the importance of maintaining independence, and our tailored home care services empower individuals to engage in their daily routines with the necessary assistance, promoting a sense of autonomy. Our personalized care plans are crafted to address unique needs, adapting over time to ensure ongoing relevance and effectiveness. Parx Home Care not only strives to be cost-effective but also places a strong emphasis on fostering family involvement, believing that strengthened bonds and emotional support are integral components of the healing process.

At Parx Home Care and our affiliates, we're committed to creating a diverse, inclusive, and authentic workplace. If you're enthusiastic about the role but don't meet every qualification in the job description, we encourage you to apply. You could be the ideal candidate for this or other roles!

Parx Home Care is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, age, religion, sex, national origin, disability, protected veteran status, or any other characteristic protected under federal, state, or local law.

Parx Home Care does not accept resumes from unsolicited search firms nor recruiters.

Qualification

High School or equivalent