Appalachian Regional Healthcare (ARH)
Home Health Billing Specialist
Appalachian Regional Healthcare (ARH), Whitesburg, Kentucky, United States, 41858
Overview
Under general supervision, the Home Health Billing Specialist primary responsibilities include receiving and posting payments on accounts, processing refunds, adjusting customer invoices, insurance claim processing, and managing accounts. You will also be responsible for researching and resolving discrepancies, keeping accurate accounting records, and ensuring accurate and efficient recording of all incoming payments and transactions. The position encompasses business office responsibilities related to patient accounts, including charge import, appeals, diagnostics and procedural coding, and claim follow‑up with third‑party payers to achieve a zero‑balance resolution. Responsibilities
Cash Posting Portion
Accurately post payments received from checks, electronic transfers, credit card payments, and legacy cash; handle unapplied cash, review adjustments, and obtain approvals. Reconcile posted payments with bank deposits and statements. Prepare regular reports on cash receipts, outstanding balances, and aging accounts. Liaise with accounts receivable, billing, and customer service to resolve payment issues. Ensure compliance with regulatory requirements and internal controls; assist audits. Billing / Follow‑up Portion
Initiate corrections on all claims with errors within designated time. Follow up on any correspondence received on prior days. Cross‑train on billing all lines of business for different payers. Pull listings of all accounts assigned for follow‑up by specific payer. Perform diagnostic and procedural coding. Resubmit primary, secondary, and tertiary claims per regulations and policies. Communicate with third‑party representatives to resolve problem claims. Follow‑up daily on post‑processing activity: rejected billings, adjustments, rebilling, denied claims. Maintain accounts receivable detail and standards per payer for accounts >90 days. Meet collection goals by payer each month. Complete appeals as required. Work minimum standard number of accounts per payer per day. Perform all assigned accounts based on balance. Additional Duties
Participate in educational activities and attend monthly department staff meetings. Maintain confidentiality and adhere to HIPAA guidelines. Perform other duties as assigned. Qualifications
Education
High School Diploma or GED. Minimum Work Experience
Six months of experience in registration, cash posting, billing and collections, financial counseling, or customer service preferred. Required Skills, Knowledge, and Abilities
Knowledge of medical terminology preferred. Basic computer proficiency. Typing speed: minimum 40 WPM. Familiarity with CPT and ICD-9 coding helpful. Cash posting experience. Audit and accounting/reconciliation skills. Good written and verbal communication skills essential for account follow‑up. Seniority level
Entry level Employment type
Full‑time Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care
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Under general supervision, the Home Health Billing Specialist primary responsibilities include receiving and posting payments on accounts, processing refunds, adjusting customer invoices, insurance claim processing, and managing accounts. You will also be responsible for researching and resolving discrepancies, keeping accurate accounting records, and ensuring accurate and efficient recording of all incoming payments and transactions. The position encompasses business office responsibilities related to patient accounts, including charge import, appeals, diagnostics and procedural coding, and claim follow‑up with third‑party payers to achieve a zero‑balance resolution. Responsibilities
Cash Posting Portion
Accurately post payments received from checks, electronic transfers, credit card payments, and legacy cash; handle unapplied cash, review adjustments, and obtain approvals. Reconcile posted payments with bank deposits and statements. Prepare regular reports on cash receipts, outstanding balances, and aging accounts. Liaise with accounts receivable, billing, and customer service to resolve payment issues. Ensure compliance with regulatory requirements and internal controls; assist audits. Billing / Follow‑up Portion
Initiate corrections on all claims with errors within designated time. Follow up on any correspondence received on prior days. Cross‑train on billing all lines of business for different payers. Pull listings of all accounts assigned for follow‑up by specific payer. Perform diagnostic and procedural coding. Resubmit primary, secondary, and tertiary claims per regulations and policies. Communicate with third‑party representatives to resolve problem claims. Follow‑up daily on post‑processing activity: rejected billings, adjustments, rebilling, denied claims. Maintain accounts receivable detail and standards per payer for accounts >90 days. Meet collection goals by payer each month. Complete appeals as required. Work minimum standard number of accounts per payer per day. Perform all assigned accounts based on balance. Additional Duties
Participate in educational activities and attend monthly department staff meetings. Maintain confidentiality and adhere to HIPAA guidelines. Perform other duties as assigned. Qualifications
Education
High School Diploma or GED. Minimum Work Experience
Six months of experience in registration, cash posting, billing and collections, financial counseling, or customer service preferred. Required Skills, Knowledge, and Abilities
Knowledge of medical terminology preferred. Basic computer proficiency. Typing speed: minimum 40 WPM. Familiarity with CPT and ICD-9 coding helpful. Cash posting experience. Audit and accounting/reconciliation skills. Good written and verbal communication skills essential for account follow‑up. Seniority level
Entry level Employment type
Full‑time Job function
Accounting/Auditing and Finance Industries
Hospitals and Health Care
#J-18808-Ljbffr