At CareSense we are only as good as our caregivers.
Our extraordinary caregivers provide quality Home Health assistance bringing much relief and quality of life for our patients and their families.
A MEDICAL BILLER is needed to assist in our Reading PA branch.
RESPONSIBILITIES INCLUDE:
Billing:
Prepares claimreports and ensures all claim datais accurate and correct
Submits claims to the appropriate payers and monitors status from submission until payment
Resolves and coordinates resolution of denied claims by communicating with all parties involved
Resubmits corrected denied claims
Identifies and reconciles discrepancies in reimbursements
Reports issues regarding claims to appropriate individuals
Fiscal:
Reviews client/staff files to ensure all information required for authorizations is present
Enters services authorizations into proprietary software ensuring correct coding and amounts
Updates authorizations as needed
Reviews care logs to ensure correct coding unit and dollar calculations.
Requirements:
Three to five years related experience and training; in-depth knowledge of medical billing processes procedures and best practices.
Familiarity with insurance reimbursement protocols.
Expert level proficiency inMicrosoft Office (Word and Excel);
Expert computer skills with the ability to utilize various advanced computer systems to support the various responsibilities
Excellent phone interpersonal verbal and written communication skills
Fast paced very organized and detailed with the ability to handle extensive amounts of paperwork/documentation
Self-directing and very independent with the ability to work with little direct supervision
Very comfortable with technology applications including personnel recruiting systems staffing and scheduling systems electronic medical records systems
Reliable car valid State drivers license and car insurance
Background check will be required
Must have authorization to work in the USA
CareSense Home Health and Hospice provides superb services including nursing therapy social services and health aides.
We are committed to quality care sensitivity and patient satisfaction. Our goal is to improve our patients health and
quality of life with professionalism and respect.
To learn more about our company please visit our website at
At CareSense we are only as good as our Caregivers. Our extraordinary Caregivers provide quality Home Care assistance, bringing much relief and quality of life ...