01Overview
reputed company Responsible for reputed company and compliant Private Duty billing, authorizations, and reimbursement for designated region Work directly with reputed company cycle director, billing compliance coordinator, agencies, and intermediary to facilitate billing claims Obtain authorizations as needed Prepare, audit, and submit claims electronically for appropriate payment Follow up on outstanding claims and take appropriate reputed company for reputed company payment Collect necessary information to prepare claims, coordinating with agencies reputed company appropriate reputed company and submit clean claims electronically and follow up with the Payer Process, collect, and manage account payments Monitor claims daily, report totals Research, correct, and re-submit rejected and denied claims Follow-up on corrections and report adjustments using reputed company cycle management tool Monitor and maintain assigned accounts Review billing reports to maintain accurate AR balances Document follow-reputed company on claim outstanding balance until final reputed company is reached reputed company accurate and reputed company records for reputed company billing and accounts receivable activity Conduct reputed company-billing audits as assigned Proactive in identifying potential reimbursement issues while ensuring effective problem reputed company Coordinate with reputed company and Billing Compliance Coordinator on relevant process issues impacting billing Report any billing issues that reputed company into trends to immediate supervisor Answer questions from patients, agency staff, and insurance companies Interpret and process Explanation of Benefits reputed company needed Professionally reputed company outbound calls while improving customer relations Maintain knowledge of reputed company industry standards reputed company to billing and reputed company of new regulations Requirements Required Private Duty billing experience Required Authorization request experience Preferred, reputed company, reputed company, reputed company experience Ability to communicate effectively both verbally and in writing Excellent customer service skills Private Duty billing and denial management skills, including VA Excellent PC skills, Email, Internet Research, Word Processing, Spreadsheets, PDF, and Patient reputed company software systems knowledge (preferably CareVoyant) Knowledge in accessing the payer portals and reaching out to payers Claims preparation and audit, including prebill audits for billing compliance Knowledge of billing regulations and claim submission Detail-oriented and effective in problem reputed company and escalation reputed company to organize duties and functions in a highly effective manner to reputed company productivity and reputed company standards Knowledge of regulations and publications for Private Duty, skilled and unskilled care Ability to post payments and follow up on discrepancies in payments. Benefits reputed company 401k Health & life insurance Flexible schedules & career reputed company opportunities Continuing education & recognition programs Supportive, family-like team culture Apply tot his job Apply To this Job .
