Home Care PFS Billing Rep

Duration: 3 months

Duties:

• The primary focus of the billing representative is to accurately process charges according to payor specific contracts in accordance with policy and all regulatory and accrediting agency guidelines.
• Work with interdisciplinary team to ensure that all documentation required to generate claims has been obtained prior to submission.
• Accurately post, edit and generate all claims for Home Care services.
• Review hold reports to ensure that services are billed for timely, accurately and hold edits are completed.
• Ensure all documentation necessary for accurate billing is obtained.
• Verifies that all the proper coding and charge information is entered in the system according to payor specific contracts following regulatory guidelines.
• Assist in obtaining/maintaining department's cash goals.
• Perform all reimbursement functions in accordance with policy and regulatory and accrediting agency guidelines.
• Perform other duties as assigned by management.

Skills: 

• Strong verbal, communications and organizational skills
• Basic application and computer skills
• Strong data entry skills
• Strong interpersonal and customer service skills.

Education:      

• High School Diploma

Work Experience:

Experience Details Required/ Preferred

Previous health care billing experience Preferred