Easter Seals Jobs

Description

At Health Quest Home Care , we are seeking individuals to become part of our exceptional home healthcare team. We are interested in health care staff who thrive working independently at the top of their professional licenses while being part of a coordinated home health team, and who will be part of the continuum of care at Nuvance Health. Our home health team works closely with patients’ physicians and families to provide care in the one place where our patients want to be, in the comfort of their own homes. As part of the Nuvance Health Network, our home health staff enjoy flexible schedules; continuing education options; excellent medical, dental and recreational benefits; and the support of a thorough orientation program.

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Purpose:The Credit/Collections Specialist performs office-based duties related to the timely

submission of technical or professional medical claims to insurance companies. Demonstrates the

highest quality customer service in keeping with the agency mission.

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*Essential Responsibilities: *

• Maintain A/R and follow up of all accounts with the exception of Medicare.*

• Review of cash deposits for proper payments.

• Claim research for appeal process with Insurance companies.

• Patient benefit eligibility checks.

• Follow through with all disciplines regarding on going Authorizations as needed.

• Maintain computerized documentation of Authorizations and updates as needed.

• Determination of claims to be sent to Collection Agency(s).

• Follow up and communication with Collection Agency(s) regarding payments.

• Medicaid billing, including printing mailing, transmission and follow up of claims for the Licensed and Certified Agencies.

• Rebilling of claims, computerized or manual.

• Ensures compliance with all payers billing policies, procedures, and regulations.

• Communicates with Intake Department to ensure proper set up of Patient Accounts.

• Prepares Accounts Receivable reports on a monthly basis.

• Cross train team members effectively through routine sharing of relevant information.

• Maintain and Model REACH Values (Respect, Excellence, Accountability, Compassion, Honor).

• Demonstrates regular, dependable, and predictable attendance.

• Performs other duties as required.

*Education and Experience Requirements: *

• Must possess high school education or equivalent, associate degree in business or

Accounting preferred.

• At least one (1) year of Billing/Collection experience preferably in a healthcare setting.

Minimum Knowledge, Skills, and Abilities Requirements:

• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

• Demonstrate proficiency in accounting software, Microsoft Excel, Word or equivalent.

• Ability to maintain the integrity and confidentiality of all medical, payroll, billing.

• Strong organizational skills, with accurate attention to detail and ability to multitask.

• Effective communication abilities for phone contacts with internal and external payers to resolve issues.

• Customer service skills for interacting with patients regarding medical claims and payments to resolve issues.

• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process.

• Knowledge of accounting and bookkeeping procedures.

• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

• Strong computer skills

**Company: Health Quest Home Care

Org Unit: 1696

Department: Financial

Exempt: No

Salary Range: $17.07 - $32.47 Hourly

We are an equal opportunity employer

Qualified applicants are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other classification protected under applicable Federal, State or Local law.

We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation or our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at 203-739-7330 (for reasonable accommodation requests only). Please provide all information requested to ensure that you are considered for current or future opportunities.