Home Health Self Pay Patient Accounts Receivable Specialist

H
HumanaHome Healthcare
United States, 8:30am-5pm CSTFull-TimeMiddle
Salary43,000 - 56,200 USD per year
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Job Details

Experience
2 or more years
Required Skills
Microsoft Excel

Requirements

  • High School Diploma or the equivalent
  • 2 or more years of medical claims processing experience
  • Knowledge of healthcare collection procedures and software/hardware
  • Proficiency with Microsoft Office applications including Word, Excel, Outlook, and Teams
  • Reliable internet service with at least 25 Mbps download and 10 Mbps upload speed
  • Ability to work from a dedicated space lacking ongoing interruptions to protect PHI/HIPAA information
  • Availability for occasional travel to offices for training or meetings

Responsibilities

  • Ensure the coordination of claim activities, and timely reimbursement of receivables.
  • Research, resolve, and prepare claims that have not passed the payer edits daily.
  • Determine and initiate action to resolve rejected invoices.
  • Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
  • Clear payment variances, resolving differences, and initiating corrective action.
  • Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
  • Prepare input data forms to update computer system.
  • Review and communicate with agencies to educate them about expectations for clean claims.
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43,000 - 56,200 USD per year
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