Job Description
We are seeking a Home Health Medical Billing Specialist for a role based in Virginia Beach, Virginia. This Home Health Medical Billing role is in the Sr Care Healthcare industry and offers a contract employment opportunity. As a Home Health Medical Billing Specialist, you will be primarily responsible for maintaining excellent billing practices, ensuring accuracy and compliance in all processes.
Responsibilities:
• Prepare and submit claims to insurance companies for home health services provided, ensuring all claims are accurately processed
• Maintain and update patient accounts, ensuring all information is up-to-date and accurate
• Verify insurance coverage and benefits for patients and liaise with insurance companies to resolve any issues
• Ensure all billing activities comply with federal, state, and local regulations, as well as company policies and procedures
• Keep detailed records of billing activities, payments received, and any correspondence with insurance companies and patients
• Collaborate with healthcare providers, patients, and insurance companies to address billing inquiries and discrepancies
• Utilize Microsoft Excel and other relevant software for billing functions and claim administration
• Handle appeals and understand Explanation of Benefits (EOB) in relation to Medicaid and Medicare Billing
• Utilize Dynamic Data Exchange (DDE) for billing procedures where necessary
• Familiarity with Medicaid Billing and Medicare Billing is needed
• Understanding of the EOB - Explanation of Benefits is crucial
• Proficiency in Dynamic Data Exchange (DDE) is required; having a login is preferred but not required.
• Must have a minimum of 2 years experience in Medical Billing
• Proficiency in Microsoft Excel is required
• Experience in handling appeals is necessary
• Knowledge of Billing Functions is essential
• Experience in Claim Administration is required
• Must possess excellent communication and organizational skills
• Attention to detail and ability to multitask are essential
• Candidate should be able to work independently and in a team environment
• Knowledge of healthcare industry regulations and medical codes is necessary
• Familiarity with healthcare software systems is a plus
• Must have strong problem-solving skills and ability to handle sensitive information confidentially
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