Obtaining billing information from Clients and generating daily claims
Performing Q.A. of charges received from Clients and making modifications/changes as required to produce a clean claim
Reviewing contract/details of new payers before billing. Working with supervisor/manager on changes needed in the billing system (e.g., CPR+, CareTend)
Tracking pending claims
Submitting claims to insurance companies in a timely fashion and within the individual insurance company's timely filing period.
Preparing and/or printing all secondary claims that do not automatically cross over from Medicare or other primary payer
Following up on patient balances within established timeframes.
Obtaining claim's status by calling the payer and/or using an online payer portal
Utilizing reports to determine tasks that require follow up
Taking appropriate action for escalating claims not paid within 60 days or for denied appeals
Preparing write-off request when bad debt is identified. Documenting description of the reason for the write-off.
Researching claim payments, partial payments, over payments.
Prioritizing claims to identify Top Ten high balance accounts. Keeping accounts current until complete. Preparing report of Top Ten accounts monthly for supervisor/manager review.
Preparing status report with supporting documentation of all claims over 90/120 days
Do you have what it takes?
Required Qualifications:
1-2 years of billing and/or collections or insurance claims processing
Do you stand above the rest?
Preferred Qualifications:
Healthcare insurance claims processing knowledge
Healthcare billing and collections knowledge
Working knowledge of word and excel
Home infusion and durable medical equipment billing and collection experience preferred, IV field experience, medical billing certification, some college education
#LI-KL2
#LI-Hybrid
Additional job expectations applicable to this position include:
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Applicants for U.S.-based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Certain client-facing positions may be required to comply with applicable requirements, such as immunizations and occupational health mandates.
Here are some of the exciting benefits full-time teammates are eligible to receive at WellSky: