Ensures that Home Care Delivered, Inc. is properly reimbursed on claims it has submitted for payment. Communicates effectively with key decision makers within the company. Undertakes all work in accordance with law, regulation, payer requirements, and company requirements and polices.
Researches and resolves issues with claims, including denials and appeals for assigned payer group.
Identifies discrepancies and effectively works toward their resolution or communicates to other personnel for resolution as appropriate.
Effectively communicates with other revenue management staff and management, including potential changes to PayerPro, changes in fee schedule, need for prior authorization, etc.
Demonstrates HCD Core Values: Integrity, Caring, Accountability, Responsiveness, and Expertise.
Maintains appropriate level of communication and confidentiality.
Performs all other duties assigned, which may vary at any time with our without notice.
High School Diploma and/or GED required. Associates Degree, required. Degree can be in general studies, accounting, finance or similar course of study. Four years' experience with HCD in revenue management can be substitute for the Associates degree.
Experience with insurance billing and/or collections required.
Home Care Delievered