Job Description

Job Summary
The Billing Accounts Receivable Analyst is responsible for processing all VNA/Home Care Services claims to primary and secondary payers promptly and accurately in order to promote financial stability within the organization. Experience in billing Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required. Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.
Core Job Responsibilities
Responsible for all non-Medicare and Medicare paper and electronic billing.
Analyze payment methodology with the payer contractual agreements and the actual reimbursement to ensure accurate accounts receivables. Follow-up with payers regarding payments and/or denials. Challenge the payer when their remittance is not appropriate or justified.
Follow-up on all receivables including all co-pays, adjustments and denials.
Explain the accounting of the patient balance to the patient/guarantor.
Initiate and approve payment arrangements in accordance with established departmental policies and procedures.
Update patient payer system information.
Participate in appropriate agency meetings and quality improvement and utilization review activities of the organization.
Ensure that all information is kept confidential and respect the Patient’s Bill of Rights. Comply with all state and federal regulations regarding patient data and safety.
Performs related duties as assigned.
Education/Experience Requirements
REQUIREMENTS:
High School diploma or GED.
2 years of billing/corporate customer service experience.
Knowledge of billing for Medicare, Medicaid, Commercial Insurance, HMOs, and Worker’s Comp/No Fault is required.
Excellent computer, verbal and written communication skills.
PREFERRED:
Knowledge in ICD-10, HCPCS coding and medical terminology is a plus.
Licensure/Certification Requirements
Disclaimer
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Job Details
Req Id 94611
Department BILLINGS CLAIMS
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule HRLY NON-UNION-LONG TERM CARE
Employee Status A1 - Full-Time
Union Non-Union
Pay Range $18.50 - $25.00 Per Hour

Job Tags

Hourly pay, Full time, Shift work,

Similar Jobs

Nityo Infotech

Guidewire QA in Model: Hybrid Model Job at Nityo Infotech

...NJ; Mt Juliet, TN; New York, NY; Purchase, NY; Topeka, KS Model: Hybrid Model, ( 3 days work from office and 2 days WFH Mandatory... ...) 3 + years as a Software Quality Assurance Lead. Experience is required in managing software / application testing for...

Qualcomm

Thermal Engineer Job at Qualcomm

**Company:**Qualcomm Technologies, Inc.**Job Area:**Engineering Group, Engineering Group ASICS Engineering**General Summary:** Qualcomm is actively seeking a thermal engineer for the Design Technology (Dtech) SoC thermal analysis team. The candidate would deliver...

School Gig

Elementary Specialist - Visual Performing Arts Teacher Job at School Gig

...who have the following credentials: Visual and Performing Arts Theatre/Drama Dance Arts Music Computer Science... ...employers in the work history section of this application (please see Education Code section 44939.5 - as amended by California AB2534)...

JS Consulting

Data Center Cable Design Engineer in Indianapolis, IN(USC or GC Only) Job at JS Consulting

...someone looking for a similar role. Job Title: Data Center Cable Design Engineer Location: Indianapolis, IN Duration: 1... ...cable infrastructure for data centers, ensuring optimal network performance and scalability. Develop and maintain RBI (Rack...

Dansources

Deskside Support Technician Job at Dansources

View JobDeskside Support TechnicianFull TimeWashington DC 20002 USAPosted 05/16/2025Job Descriptionback to topThis... ...Justice. The program provides a range of IT services, including help desk, deskside support, Windows workstation engineering and...

Billing Accounts Receivable Analyst - Full Time - Days Job at Mohawk Valley Health System, Utica, NY

a3psaUh2bit0bEI5ZDdMYkw0cVBDWmNWZVE9PQ==