Cooks Home Assistance Care
Part-Time Home Care Billing Specialist
Cooks Home Assistance Care, Merrillville, Indiana, us, 46411
Benefits:
401(k)
401(k) matching
Bonus based on performance
Competitive salary
Dental insurance
Donation matching
Free uniforms
Health insurance
Paid time off
Parental leave
Training & development
Vision insurance
Position Summary The Part-Time Home Care Billing Specialist is responsible for accurately preparing, submitting, and tracking claims for home care services. This role ensures timely reimbursement from Medicaid, Medicare, MCEs, and commercial payers by using Availity and electronic data interchange (EDI) tools, resolving claim issues, and following up on unpaid or denied claims. The Billing Specialist must maintain a high level of accuracy, professionalism, and confidentiality at all times.
Essential Duties & Responsibilities
Prepare and submit claims for home care services through Availity and other payer portals.
Create, submit, and monitor EDI (Electronic Data Interchange) transmissions to ensure successful claim submission.
Review all claims for accuracy and completeness prior to submission (codes, modifiers, patient demographics, authorizations, dates of service, etc.).
Track claim submissions and payment status; maintain an organized log of all claims and follow-up actions.
Research and resolve unpaid, rejected, or denied claims; correct and resubmit as needed.
Contact MCEs (Managed Care Entities) and other payers to inquire about missing payments, claim status, and discrepancies.
Verify client eligibility and benefits as needed through Availity and payer portals.
Post payments, denials, and adjustments into the billing system and assist with account reconciliations as requested.
Communicate with internal departments (intake, scheduling, HR, clinical) to obtain information needed to bill clean claims.
Maintain strict confidentiality of client information and comply with HIPAA and all payer regulations.
Assist in generating basic billing, aging, and collections reports for management.
Perform other billing-related duties as assigned by management.
#J-18808-Ljbffr
401(k)
401(k) matching
Bonus based on performance
Competitive salary
Dental insurance
Donation matching
Free uniforms
Health insurance
Paid time off
Parental leave
Training & development
Vision insurance
Position Summary The Part-Time Home Care Billing Specialist is responsible for accurately preparing, submitting, and tracking claims for home care services. This role ensures timely reimbursement from Medicaid, Medicare, MCEs, and commercial payers by using Availity and electronic data interchange (EDI) tools, resolving claim issues, and following up on unpaid or denied claims. The Billing Specialist must maintain a high level of accuracy, professionalism, and confidentiality at all times.
Essential Duties & Responsibilities
Prepare and submit claims for home care services through Availity and other payer portals.
Create, submit, and monitor EDI (Electronic Data Interchange) transmissions to ensure successful claim submission.
Review all claims for accuracy and completeness prior to submission (codes, modifiers, patient demographics, authorizations, dates of service, etc.).
Track claim submissions and payment status; maintain an organized log of all claims and follow-up actions.
Research and resolve unpaid, rejected, or denied claims; correct and resubmit as needed.
Contact MCEs (Managed Care Entities) and other payers to inquire about missing payments, claim status, and discrepancies.
Verify client eligibility and benefits as needed through Availity and payer portals.
Post payments, denials, and adjustments into the billing system and assist with account reconciliations as requested.
Communicate with internal departments (intake, scheduling, HR, clinical) to obtain information needed to bill clean claims.
Maintain strict confidentiality of client information and comply with HIPAA and all payer regulations.
Assist in generating basic billing, aging, and collections reports for management.
Perform other billing-related duties as assigned by management.
#J-18808-Ljbffr