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Home Healthcare Commercial Biller /Billing specialist/Collector in Annandale, VA at Professional Health Care Resources

Date Posted: 7/30/2018

Job Snapshot

Job Description

 

The Commercial Biller performs all functions related to the billing out of and collections of services provided.

 

  • Ensure accurate and timely claim submission of all Commercial claims.
  • Process correspondence and telephone calls from all payors regarding all claims.
  • Responsible for timely resolution of all claims including appeals.
  • Follow-up on accounts for billing and on overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors.
  • Communicates with agency personnel as needed to resolve outstanding items.
  • Maintain a current understanding of applicable coding guidelines, state and federal regulations.
  • Verify billing frequency, required forms, and general billing requirements.
  • Effectively works and resolves billing edits in a timely manner
  • Manages clearinghouse and payer accept/reject reports timely
  • Research, resolve and prepare claims that do not have passable payer edits on a daily basis.
  • Determine and initiate action to resolve the rejected edits on the claim.
  • Clear payment variance, resolve any differences and initiate corrective action.
  • Applies payment and adjustments to patient accounts as appropriate
  • Review explanation of benefits for correct adjudication and payment according to applicable managed care contract terms and reimbursement.

JOB REQUIREMENTS
Education: High School diploma

Requirements: Health Care experience necessary; specifically Home Health billing and accounts receivable experience

!!!!!THE SUCCESSFUL CANDIDATE SHOULD HAVE AT LEAST 2 YEARS OF HOME HEALTH BILLIN/COLLECTOR EXPERIENCE