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Account Receivable Specialist - Medicare Home Health Job Details

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Company:  American Eldercare, Inc.
Job Code:  DNB
Categories:  Home Healthcare / Home Care
Job Role:  Accounting / Finance
Job Type:  Full Time
Salary:  Competitive
Country:  United States
Region/Province:  Florida (FL)
City:  Delray Beach
Job Description: 

The Accounts Receivable Specialist is responsible for coordinating the day to day activities required to properly bill private insurance, Medicare, Medicaid and self pay for services rendered by American Eldercare, Inc. and Heritage Home Health, Inc. in a timely manner. The Accounts Receivable Specialist works closely with the Accounting Manager to create, maintain, and update computer data regarding claims processing, billing payments, and adjustments. The Accounts Receivable Specialist will take all steps necessary to obtain maximum reimbursement while following all federal, state government and local insurance policies, rules and regulations.

I. GENERAL RESPOSIBLITIES


  • Contributes to the creation of a positive and pleasant working environment.
  • Implements all projects of the BOM to ensure an efficient and high quality operation as defined by the BOM.
  • Consults with the BOM and other accounts receivables personnel on matters pertaining to efficient operations.


II. Characteristic functions


  • Daily activities and review of data to bill skilled and non-skilled home health services.
  • Create all billable charges via computer software on a weekly basis.
  • Process Medicare home health claims electronic billing as applies.
  • Process other home health claims (manual and electronic) as necessary.
  • Conduct daily follow up with Scheduler and/or Director of Patient Services, to correct any errors that may result in no or low reimbursement rate.
  • Perform weekly private insurance billing as assigned.
  • Assures that all billable charges are billed in a timely manner.
  • Cash posting with accurate adjustment posting from paper or electronic remittance advices.
  • Perform collection activities from aging reports to obtain reimbursement in a timely manner.
  • Maintain and provide records/reports of productivity/statistics for Management reporting.
  • Maintain current and monthly spreadsheets with information for financial statements and management decisions as directed.
  • Maintain data and file logs for backup.
  • Report any issues or concerns to the BOM.
  • Maintain a professional attitude towards fellow staff members and outside provider personnel at all times.
  • Perform other duties as requested by the BOM or other management.



III. Job Knowledge


  • Practical knowledge of accounts management system software applications.
  • General Knowledge of Home Health Services.
  • Basic working knowledge of healthcare billing collections and bookkeeping principles.
  • Maintains education and development appropriate for position.


IV. Minimum qualifications


  • High school diploma or equivalent.
  • Familiar with computerized information management systems.
  • Working knowledge of Microsoft office programs in an office environment.
Post Date:  04/12/2010
 

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