PD Medical Billing Specialist, Cash Poster

Job Description: • Collect all the necessary information to prepare claims, coordinating with agencies when appropriate. • Bill and submit clean claims electronically and follow up with the Payer. • Process, collect, and manage account payments. • Monitor claims daily, report totals. • Research, correct, and re-submit rejected and denied claims. • Follow-up on corrections and report adjustments by utilizing revenue cycle management tool. • Monitor and maintain assigned accounts. • Review billing reports to maintain accurate AR balances. • Document all follow-ups completed on the claim outstanding balance until the final resolution is reached. • Keep accurate and orderly records for all billing and accounts receivable activity. • Pre-billing audits as assigned. • Proactive in identifying potential reimbursement issues while ensuring effective problem resolution. • Coordinate with the Agency and Billing Compliance Coordinator on any relevant process issue impacting billing to establish a resolution. • Report any billing issues that develop into trends to the immediate supervisor. • Answer questions from patients, agency staff, and insurance companies. • Interpret and process Explanation of Benefits when needed. • Professionally make outbound calls, while keeping and improving customer relations. • Maintain knowledge of current industry standards related to billing, cognizant of new regulations that impact billing. • Prepare and implement any required change accordingly. Requirements: • Required Private Duty billing experience. • Required Authorization request experience. • Preferred, AlayaCare, Waystar, Availity experience. • Ability to communicate effectively both verbally and in writing. • Excellent customer service skills. • Private Duty billing and denial management skills, including VA. • Excellent PC skills, Email, Internet Research, Word Processing, Spreadsheets, PDF, and Patient Accounting software systems knowledge (preferably CareVoyant). • Reviews and maintains reports and records to ensure accuracy. • Knowledge in accessing the payer portals and reaching out to payers. • Claims preparation and audit, including prebill audits for billing compliance. • Knowledge of billing regulations and claim submission. • Detail-oriented and effective in problem resolution and escalation. • Able to organize duties and functions in a highly effective manner to achieve productivity and quality standards. • Knowledge of regulations and publications for Private Duty, skilled and unskilled care. • Ability to post payments and follow up on discrepancies in payments. Benefits: • Competitive pay • 401k • health & life insurance • Flexible schedules & career growth opportunities • Continuing education & recognition programs • Supportive, family-like team culture Apply tot his job Apply To this Job