Homecare Medical Billing Specialist
Job Overview: The Homecare Medical Billing Specialist is responsible for managing the billing and coding processes for homecare services. This role requires a thorough understanding of healthcare billing regulations, coding practices, and homecare service provision to ensure accurate and timely billing.
Key Responsibilities:
Review and verify patient information and ensure completeness of documentation for billing purposes.
Accurately code diagnoses, procedures, and services provided to patients using appropriate coding systems (CPT, ICD-10, HCPCS).
Submit claims to insurance companies, ensuring adherence to billing regulations and guidelines.
Follow up on unpaid claims and respond to inquiries from insurance companies, patients, and healthcare providers.
Maintain accurate billing records and organize documentation in compliance with healthcare regulations.
Provide detailed explanations of charges to patients and assist them with any billing inquiries.
Collaborate with care teams to gather necessary information for accurate billing and resolve discrepancies.
Stay updated on changes in billing regulations, coding updates, and payer policies.
Prepare periodic reports on billing outcomes, claim status, and revenue cycle metrics.
Qualifications:
High school diploma or equivalent; associate’s or bachelor’s degree in healthcare, finance, or related field preferred.
Relevant certification in medical billing and coding (e.g., CPC, CCS, CCA) is a plus.
Minimum of 2 years experience in medical billing, preferably in a homecare or healthcare setting.
In-depth knowledge of medical billing software and electronic health record systems.
Strong understanding of medical terminology, billing regulations, and insurance policies.
Excellent attention to detail and organizational skills.
Strong communication skills, both verbal and written, to effectively interact with staff, patients, and insurance representatives.
Ability to work independently and efficiently manage multiple tasks.
Work Environment: The Homecare Medical Billing Specialist typically works in an office environment, with a standard schedule during regular business hours. Occasional remote work may be applicable based on organizational policies.
Agape Care Solutions is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.