Billing Specialist

3 weeks ago

Otway Shire, Australia CareRing Health Full time
Overview

CareRing Health is seeking a Billing Specialist who is outcome oriented, has strong prioritization skills, and has a knack for numbers. Prefer an associate's degree in accounting or related field and experience with collections, invoicing, and/or accounts receivable.

Responsibilities

Generate and submit billing for homecare visits and ensure collection and posting of payments and adjustments, including the following:

  1. Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
  2. Reconcile charges and data entered into the system assuring 100% data entry accuracy; assure correct provider, medical service, and coding are billed.
  3. Collect accounts receivable, including the following revenue sources: States Medicaid and MCO programs, Medicare, Medicare Advantage, Government and Commercial Insurance and all other fee for service revenue, including patient responsibility.
  4. Appeal, troubleshoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission on a daily basis as necessary.
  5. Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits and provider information.
  6. Submit claims to insurance companies on a daily basis as necessary.
  7. File all correspondence into patient's chart.
  8. Negotiate settlements for payments with insurance companies and courts with assistance of Billing Manager.
  9. Audit submitted claims daily to respond to rejections, denials, and short-pays to ensure timely collections.
  10. Review and post Remittance Advice to EHR Medical Billing System.
  11. Perform Adjustments within EHR Medical Billing System according to department guidance.
  12. Follow billing policy guidelines and documented procedures.
  13. Consistently demonstrate and uphold CareRing's principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.
  14. Other duties as assigned.
Qualifications

Education and Experience:

  • Associate's degree preferred
  • Experience posting and balancing payments
  • Experience billing Medicaid, Medicare, and commercial health plans for medical services preferred
  • University/college degree is an asset

Skills and Abilities:

  • Accounting experience preferred but not required
  • 1 year experience with collections, invoicing and/or accounts receivable
  • Strong attention to detail with a dedication to accuracy
  • Ability to analyze large sets of data
  • Experience working with an EHR medical billing system.
  • High degree of familiarity with AR functions
  • Excellent verbal and written communication skills
#J-18808-Ljbffr

  • Senior Clinician CAMHS Developmental Disability Service

    1 day ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Senior Clinician CAMHS Developmental Disability ServiceJob no: 894125Work type: Part timeLocation: Adelaide CBDCategories: Allied and Scientific HealthWomen's and Children's Health Network, Child and Adolescent Mental Health Service (CAMHS), North Adelaide (5006)Classification - AHP3 - Allied Health Professional L3 - $104,180 to $111,746Part Time - Term...

  • Clinical Nurse – WCH@Home

    23 hours ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Join to apply for the Clinical Nurse – WCH@Home role at Women's and Children's Health Network.OverviewWe currently have an exciting opportunity to join the Paediatric Medicine team as a Clinical Nurse – WCH@Home, where you will be responsible for:ResponsibilitiesDelivering expert, person-centered paediatric nursing care through telehealth and home...

  • Executive Assistant

    4 weeks ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Executive Assistant - Women's and Babies DivisionJoin to apply for the Executive Assistant - Women's and Babies Division role at Women's and Children's Health NetworkExecutive Assistant - Women's and Babies Division1 day ago Be among the first 25 applicantsJoin to apply for the Executive Assistant - Women's and Babies Division role at Women's and Children's...

  • Associate Midwifery Unit Manager Postnatal Services

    23 hours ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Associate Midwifery Unit Manager Postnatal ServicesAssociate Midwifery Unit Manager Postnatal Services1 day ago Be among the first 25 applicantsWomen's and Children's Health Network, Women's and Babies Division, Postnatal Services, Kaurna Land, North Adelaide 5006Classification- RN/M2A - Associate Nursing/Midwifery Unit Manager LV2- $103,353.00 to...

  • Clinical Nurse Educator

    4 days ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Clinical Nurse Educator - Medical Short Stay WardJoin to apply for the Clinical Nurse Educator - Medical Short Stay Ward role at Women's and Children's Health NetworkClinical Nurse Educator - Medical Short Stay Ward6 days ago Be among the first 25 applicantsJoin to apply for the Clinical Nurse Educator - Medical Short Stay Ward role at Women's and Children's...

  • Clinical Psychologist

    2 days ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Join to apply for the Clinical Psychologist - AHP2 role at Women's and Children's Health Network1 day ago Be among the first 25 applicantsJoin to apply for the Clinical Psychologist - AHP2 role at Women's and Children's Health NetworkGet AI-powered advice on this job and more exclusive features.Women's and Children's Health Network, CAMHS, Child Protection &...

  • Nurse Consultant

    3 days ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Join to apply for the Nurse Consultant - Metabolic role at Women's and Children's Health Network3 weeks ago Be among the first 25 applicantsJoin to apply for the Nurse Consultant - Metabolic role at Women's and Children's Health NetworkGet AI-powered advice on this job and more exclusive features.Women's and Children's Health Network, Division of Paediatric...

  • Senior Mental Health Nurse

    3 weeks ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Senior Mental Health Nurse - CAMHS ConnectJoin to apply for the Senior Mental Health Nurse - CAMHS Connect role at Women's and Children's Health NetworkSenior Mental Health Nurse - CAMHS Connect1 day ago Be among the first 25 applicantsJoin to apply for the Senior Mental Health Nurse - CAMHS Connect role at Women's and Children's Health NetworkWomen's and...

  • Kate Hill

    3 weeks ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Join to apply for the Kate Hill - Nurse Unit Manger role at Women's and Children's Health Network1 day ago Be among the first 25 applicantsJoin to apply for the Kate Hill - Nurse Unit Manger role at Women's and Children's Health NetworkWomen's and Children's Health Network, Surgical Services, Surgical Wards, Kaurna Land, North Adelaide 5006Classification -...

  • Clinical Nurse/Midwife

    3 weeks ago

    Otway Shire, Australia Women's and Children's Health Network Full time

    Clinical Nurse/Midwife (Clinical Education)Join to apply for the Clinical Nurse/Midwife (Clinical Education) role at Women's and Children's Health NetworkClinical Nurse/Midwife (Clinical Education)1 day ago Be among the first 25 applicantsJoin to apply for the Clinical Nurse/Midwife (Clinical Education) role at Women's and Children's Health NetworkWomen's...