Remote LTC Biller
HealthPro Heritage has a great Long-Term Care (LTC) Biller opportunity! This full-time, fully remote position is responsible for resolution of facility contract account balances and assisting in the successful completion of Month end closure! Why Choose HealthPro Heritage?
- Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.
- Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
- Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
- Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
- Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!
Join Us in Making a Difference At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.
- Responsible for various aspects of the LTC Billing process: Entering facility contracts, Invoice creation, payment posting, invoice submission, and outstanding facility balance tracking. These invoices are processed through the Net Health system electronically.
- Obtains supporting documentation, i.e., contracts, reports, census, medical records through the various systems used by HPH.
- Reviews, interprets, and applies contract terms into Net Health system and identifies and/or applies payments and adjustments as per contract guidelines.
- Assist in successful month end closure of LTC sites. Demonstrates appropriate and timely communication.
- Assisting with step by step training/workflow documents.
- Serves as a resource for problem solving issues related to LTC billing.
- Works correspondence including support tickets, emails, and phone messages from internal and external teams.
- Works collaboratively with LTC Collections team, RCM direct billing team, RCM Cash posting team, Credentialing/Provider Enrollment and field teams.
- Assists Accounting/Finance Team as needed with issues/concerns.
- Ability to follow department processes and controls.
- Complying with medical coding guidelines and HealthPRO-Heritage policies. Ensuring codes are accurately assigned and sequenced correctly in accordance with government and insurance regulations.
- Demonstrate knowledge of the Revenue Cycle and the impact denial decisions on revenue cycle.
- Reviewing and processing insurance denials, analyzing Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERA) forms as needed.
- Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing.
- Other duties as assigned.
- 2+ years of work experience as a Accounts Receivable/Denial specialist and or Invoice/Contract billing and Professional Physician (ProFee) billing, preferred.
- Computer literacy of medical information systems, records management software.
- Good computing knowledge in Microsoft Outlook, Word, Excel, PowerPoint etc.
- Excellent communication and customer service skills, both verbal and written.
- Understanding of contract/invoice billing and third-party reimbursement rules and regulations. Medical Billing experience preferred.
- Outstanding organizational, detail oriented and time management skills.
- Ability to work independently as well as part of a team when necessary.
- Excellent typing and 10-key speed and accuracy.
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