Farmington, Connecticut, USA
9 days ago
Billing Specialist - HomeCare
Work whereevery momentmattersEvery day almost Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network as a Billing SpecialistHartford HealthCare at Home the largest provider of homecare services in Connecticut has been fulfilling our mission for more than years Our Person Centered Care Model allows our employees to learn and grow within our organization all while providing integrated support to the patient As part of Hartford HealthCare we leverage cutting edge technology to provide quality care in our clientrsquos home Most importantly our employees are appreciated for the real differences they make in both the lives of their clients and their clientsrsquo familiesThe Home Health and Hospice Billing Specialist is responsible for accurately and efficiently managing billing processes for home health and hospice services This role ensures timely submission of claims resolves billing issues and supports revenue cycle operations to optimize reimbursement and compliancePrepare and submit accurate Medicare Medicaid and Commercial insurance claims through Home Care Home Base HCHB and Waystar billing platforms Ensure compliance with Patient Drive Groupings Model PDGM billing rules and payer specific guidelinesMonitor review and follow up on claims including aging accounts receivable denied or rejected claims Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessaryCollaborate with cross functional teams including Intake Authorization Clinical Operations Support Office OSO and Regional staff to ensure billing accuracy and resolve any discrepancies Respond to billing inquiries from internal and external stakeholdersParticipate in Accounts Receivable AR and Billing Accountability Meetings BAM Prepare and review relevant reports such as billing summaries bad debt and outstanding AR to ensure accuracy and completeness Assist with audits and provide documentation as neededOther duties as assigned related to billing and revenue cycle operationsWork whereevery momentmattersEvery day almost Hartford HealthCare colleagues come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare network as a Billing SpecialistHartford HealthCare at Home the largest provider of homecare services in Connecticut has been fulfilling our mission for more than years Our Person Centered Care Model allows our employees to learn and grow within our organization all while providing integrated support to the patient As part of Hartford HealthCare we leverage cutting edge technology to provide quality care in our clientrsquos home Most importantly our employees are appreciated for the real differences they make in both the lives of their clients and their clientsrsquo familiesThe Home Health and Hospice Billing Specialist is responsible for accurately and efficiently managing billing processes for home health and hospice services This role ensures timely submission of claims resolves billing issues and supports revenue cycle operations to optimize reimbursement and compliancePrepare and submit accurate Medicare Medicaid and Commercial insurance claims through Home Care Home Base HCHB and Waystar billing platforms Ensure compliance with Patient Drive Groupings Model PDGM billing rules and payer specific guidelinesMonitor review and follow up on claims including aging accounts receivable denied or rejected claims Resubmit overdue accounts and escalate seriously overdue accounts to collections when necessaryCollaborate with cross functional teams including Intake Authorization Clinical Operations Support Office OSO and Regional staff to ensure billing accuracy and resolve any discrepancies Respond to billing inquiries from internal and external stakeholdersParticipate in Accounts Receivable AR and Billing Accountability Meetings BAM Prepare and review relevant reports such as billing summaries bad debt and outstanding AR to ensure accuracy and completeness Assist with audits and provide documentation as neededOther duties as assigned related to billing and revenue cycle operationsEducation High school diploma required Bachelorrsquos Degree Business Administration or related field PreferredExperience Minimum years of billing experience in Home Health andor Hospice required years of experience preferably in Home Care preferredKnowledge Skills and Ability Requirements The Billing Specialist must have Home Health and Hospice billing experience Proficiency with HCHB EMR clearinghouses such as DDE and Waystar A strong understanding of Medicare Medicaid and commercial insurance billing Excellent organizational analytical and communication skills Ability to work independently and manage multiple priorities in a deadline driven environmentWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your momentEducation High school diploma required Bachelorrsquos Degree Business Administration or related field PreferredExperience Minimum years of billing experience in Home Health andor Hospice required years of experience preferably in Home Care preferredKnowledge Skills and Ability Requirements The Billing Specialist must have Home Health and Hospice billing experience Proficiency with HCHB EMR clearinghouses such as DDE and Waystar A strong understanding of Medicare Medicaid and commercial insurance billing Excellent organizational analytical and communication skills Ability to work independently and manage multiple priorities in a deadline driven environmentWe take great care of careersWith locations around the state Hartford HealthCare offers exciting opportunities for career development and growth Here you are part of an organization on the cutting edge ndash helping to bring new technologies breakthrough treatments and community education to countless men women and children We know that a thriving organization starts with thriving colleagues we provide a competitive benefits program designed to ensure worklife balance Every moment matters And this is your moment
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