Responsible for claims management including follow-up of unpaid claims and resolution of denials.
- Research and establish patient eligibility coverage with insurance providers
- Determine and process insurance rejections
- Maintain and update patient billing and insurance information in the system
- Coordinate with insurance company regarding overrides, rejections and insurance updates
- Communicate with client facilities staff, PDP (Medicare), CMS, NJM and NYM when necessary
- Follow up and resolve pending billing issues
Qualifications
- At least 1-year experience in medical billing is preferred
- At least 1-year experience handling a medical provider or a billing account is required
- Must have excellent verbal and written communication skills
- Knowledgeable of home health practices, procedures, and professional standards of care as set by federal and state regulations
- Must be detail-oriented and have the aptitude to learn quickly
- Ability to work effectively in a team environment
