Insurance A/R Specialist

NHC Homecare Panama City , FL 32401

Posted 5 months ago

Position will be located at our FL Regional Office in Panama City, FL

Definitions:

Works under the direction of the Billing Manager to assure the accurate and timely collection of Homecare accounts receivable from Medicare, managed care, and commercial insurance.

Qualifications:

  • High school diploma. Additional business and computer courses desirable

  • 3+ years of third-party healthcare billing experience, preferably in home health care, including multiple carrier experience with EOB's and claims denials

  • Knowledge of Medicare and Third Party Insurance Guidelines

  • Self-motivated. Able to work with little supervision

  • Proficient in verbal and written communications, including active listening skills

  • Strong organizational skills, work ethic, and high attention to detail

  • Investigative personality-ability to efficiently determine the problem and get to the bottom of an issue

  • Excellent customer service and telephone etiquette skills

Performance Requirements:

  • Ability to speak, read, write, hear/comprehend in order to communicate adequately to carry out job duties and responsibilities

  • Mental acuity high enough to adequately perform job requirements and learn new skills

  • Ability to work cooperatively and harmoniously with a wide variety of people including insurance companies, patients, and other NHC HomeCare staff

  • Must have predictable and consistent attendance

Specific Responsibilities:

  • Work outstanding Aged Accounts Reports

  • Maintain a file on accounts requiring follow up until accounts are satisfactorily resolved.

  • Review claims denials and submit corrected claims and/or follow up appeals

  • Assist patients in understanding their balances after insurance has processed

  • Be a reliable resource for other staff regarding insurance and their requirements

  • Communicate with homecare offices as needed for claim and collection follow up

  • Other duties as assigned from time to time

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