Home Health Self Pay Patient Accounts Receivable Specialist

New
H
HumanaHome Health
United States, CST (8:30am-5pm)Full-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 equivalent.
  • 2 or more years of medical claims processing experience.
  • Knowledge of healthcare collection procedures and software/hardware.
  • Proficiency using Microsoft Office applications (Word, Excel, Outlook, Teams).
  • Internet speed: Minimum download of 25 Mbps and upload of 10 Mbps.
  • Ability to work from a dedicated space with no interruptions to protect PHI/HIPAA information.
  • Ability to travel occasionally 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 payer edits.
  • Determine and initiate actions to resolve rejected invoices.
  • Analyze each agency's outstanding monthly accounts receivable and process claims to obtain zero balances.
  • Clear payment variances, resolve differences, and initiate corrective actions.
  • Guide, instruct, and support agency personnel on insurance and non-Medicare claims processing.
  • Prepare input data forms to update computer systems.
  • Review and communicate with agencies to educate them on clean claim expectations.
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43,000 - 56,200 USD per year
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