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Payroll/Billing - (Must be able to utilize Availity) Fayetteville, GASanzie Healthcare Services Inc is looking for an In-home care Billing and Payroll Accounting Clerk. The Biller/Payroll Accounting Clerk position is responsible for billing, collecting, posting and managing account payments. The ideal candidate will be required to investigate claims issues and staying afloat of account receivables. A strong background in medical billing, with the skills necessary to improve our current billing procedures and collecting on patient accounts.Responsibilities include: Understand and adhere to established SHCS policies and ProceduresAssist with recruiting, associate hiring, orientations, in-services, disciplinary actions, etc.Perform payroll duties including verifying time sheets and/or Telephony processing. Computer input of timesheet/Telephone changes for payroll processing.Preparing and submitting claims to various insurance companies electronicallyEnters new employee data into the payroll and processes payrollResolving unpaid claims identified on aged A/R and various other reports, and also reviewing and responding to all billing-related correspondenceDenial trends are researched and root causes are identified and reported to the Administrator for resolutionCompany PayrollAnswering and triaging calls from caregivers, clients, insurance companies, and prospectsIdentifying and resolving insurance/patient billing complaintsAssisting in recruiting on various job boardsSending MIF, CCNF, and calling VA regarding any expired Prior AuthorizationsPreparing, reviewing, and sending patient statementsEnsuring all documents are submitted for proper billing: insurance verification forms, office notes, and encounters/superbillsReporting delinquent accounts to the Administrator & CEOPerforming various collection actions including contacting Clients by phone, correcting and resubmitting claims to third-party payersParticipating in educational seminars and staff meetings (monthly or weekly)Maintaining the strictest confidentiality and adhering to all HIPAA guidelines and regulationsSuch other tasks as the company may require and/or as needs evolveGenerating, reviewing, and transmitting claimsPayment Posting- Mail & ERA'sProvide customer service regarding billing & collection issues, process and review account adjustments, and resolve client discrepancies and short payments.Follow up on submitted claims to ensure payer acceptance.Review rejected and/or denied claims, make corrections, and resubmit clean claims within the required time frameReview EOBs/ ERA's for any missed opportunitiesFollow up on aged accounts receivables through final resolutionBalance bill secondary, and tertiary insurance as well as patientsFollow up on payment errors, over-payments, low reimbursements, rejections and denialsInsurance verificationOther duties as assigned based on billing, payment posting, and demographic entry, to ensure company goals are met and a team environment is maintainedMaintain the confidentiality of the medical information contained in each record.Recording, monitoring, and processing Company QuickBooks.Reviewing timesheetsReview the client's Pre authorized units/hours and dates given by Medicaid, VA, Private pay, etc. are placed correctly on Axiscare.Review and approve timesheets and payroll information of assigned staff -Check each employee's Timesheets, member form, and Progress note to reflect Axiscare.Input the correct hours on the Excel and process payroll and timesheets by the company pay period.Key Requirements: Ability to research unpaid claims, determine and correct cause, and follow up as needed.Ability to appeal/rebill underpaid or denied claims within payer deadlines.Knowledge of CPT, HCPCS, and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans).Should be proficient with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems (Availity and MMIS experience a big plus!).Must have a minimum of 3 years of comprehensive medical billing/collections experience with multiple specialties and a well-rounded understanding of the entire Revenue Cycle process.Commitment to excellent customer service a mustExcellent written and verbal communication skillsAbility to prioritize and manage multiple responsibilitiesHIPAA CompliantWorking Hours/Salary:Part-time; Compensation to be determined upon review of credentials and experience.Hours 9.00 am- 6:00 pm Monday - Friday.Required experience/ education:3+ years' experience in medical billing, posting charges, insurance verification, payment posting, filing professional claims, & ICD-10Certification not required, but is a plusAssociate Degree or equivalentProficient in billing software Availity and MMIS softwareStrong analytical skillsExperience in medical terminology, accounts receivable, insurance collections and billingExperience with HIPAA standards and compliance programsKnowledge of medical billing/collections practicesKnowledge of computer programsAbility to operate a computer, basic office equipment and a multi-line telephone systemKnowledge of basic third party operating procedures and practiceKnowledge of Medicare/Commercial Payors and Workers CompSkill in answering a telephone in a pleasant and helpful mannerStrong organization, oral/written communication and public relations skillsAbility to maintain effective working relationships with patients, employees and the publicJob Type: Full-timeRequired education:Associate degree or equivalentCertified Biller and Payroll ClerkRequired experience:In home care billing experience : 2 yearsMedical Billing: 2 yearsPayroll Experience: 2 years
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