Account Receivable Billing Specialist

GENERAL SUMMARY

The Accounts Receivable Billing Specialist is a motivated individual that ensures accurate and timely posting of payments for our home health, personal services and hospice services. The Accounts Receivable Billing Specialist is responsible for making sure payments are based off our specific contracts. Essential Duties and accountabilities Ensures timely, accurate posting of commercial payments for home health/hospice & personal services Make solid judgment and adhere to all policies ensuring the protection of confidential information related to patient demographics, medical information, diagnosis codes, PHI according to both internal and Federal HIPPA regulations and guidelines Retrieves electronic remittances (MyAbility, Via ZirMed and other electronic avenues) Conducts research for outstanding claims (Correct insurance, PCR, Proper payment according to contract) Initiates adjustment and write off request Run daily, weekly, monthly reports as required Medical Record requests Assist with insurance verification Assist with authorizations Assist the Commercial and Medicare Billing Specialist Assist with maintaingin physicians licenses Assist with PCR Ensures effective ccommunication and positive working relationships with personnel from all areas of the agency to maintain coordination of interrelated activites Performs job in compliance with agency policies and procedures and according to accepted standards of practice All other duties as assigned

SPECIAL SKILLS AND ABILITIES REQUIRED

Knowledgeable user of computer systems and application to include Microsoft Word, Excel, Power Point, Healthwise and email A keen eye for details Ability to work methodically and meet deadlines Organization and time management skills Ability to maintain flexibility in meeting department and individual workload demands

EDUCATION

High School diploma or

GED EXPERIENCE

2+ years of proven experience working in depth with Manage Care, Medicare, Medicaid and other regulatory programs Demonstrate knowledge of appropriate skills for communicating with all individuals through verbal and written tools

COMPETENCIES

Build Credibility and Trust Collaborate with Others Demonstrates interpersonal understanding and utilizes effective communication skills Deliver Results Analyze Problems and make decisions Demonstrate Resilience Learn Continuously Degree of Travel Occasional Safety Hazards in Job Limited

• eye strain and repetitive motion strain from computer use

WORKING CONDITIONS

(Includes information essential for successful job performance).

PHYSICAL DEMANDS NEVER OCCASIONALLY FREQUENTLY CONTINUALLY

Sit X Stand X Walk X Bend/Stoop X Squat X Crawl X Climb X Reach Above Shoulder Level X Kneel X Balance X Lift, Carry, Push, Pull Maximum 10 Lbs. X Maximum 20 Lbs. X Maximum 50 Lbs. X Maximum Over 50 Lbs. X Must Be Able To See X Hear X Speak X Use One Hand X Use Both Hands X Environmental Conditions

NEVER OCCASIONALLY FREQUENTLY CONTINUALLY

Involves Being Inside X Outside X Exposed to Temperatures of 32ûF and less X 100ûF and more X Wet & Humid Conditions X Noise, Vibration X Fumes, Dust X Hazards, Exposure

NEVER OCCASIONALLY FREQUENTLY CONTINUALLY

Infectious Wastes X Toxic Chemicals X Needles/Body Fluids X Radiation X Chemotherapeutics X Occasionally = 1% to 33% of the time Frequently = 34% to 66% of the time Continually = 67% to 100% of the time

ADDITIONAL INFORMATION

(Include any business unit-driven variances regarding job duties and responsibilities; special skills and abilities; education and experience; and working conditions. List by business unit).

DISCLAIMER

The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. About Us Why work for LifeSpring Home Care and Affiliates? We provide our employees with an atmosphere that will encourage them to develop their talents to their highest potential while being caregivers to those in need of home health, hospice, or personal services. Join our Team to provide inspired care by offering a loving professional team approach to rendering care, allowing a patient to comfortably remain where they live for as long as services are required. Wondering what amazing benefits we can offer you? Full-Time Benefits Medical

• We offer three options including

PHCS PPO

Plan, PHCS HSA Plan, or Preventive Plus. Dental and Vision

• Take advantage of our Delta Dental and VSP plans! 401k Match
• We offer a very generous 401k match! Paid Time Off
• You will begin earning paid time off from day one! The annual average for paid time off accrual is 18 days per year to start. AFLAC
• You can access short term disability, accident, and cancer policies through AFLAC. Part-Time & PRN Benefits Medical
• Part-time and prn staff are offered Preventive Plus Plan coverage. 401k Match
• If you average over 1000 hours per year, we offer a very generous 401k match! AFLAC
• You can access short term disability, accident, cancer policies through AFLAC.