Home Health Medical Office personnel -Experience using Availity RCM, MMIS, QuickBooks

Job Description

Job Description

Payroll / Billing - (Must be able to utilize Availity) Fayetteville, GA

Sanzie Healthcare Services Inc is looking for an In-home care Billing and Payroll Accounting Clerk . The Biller / Payroll Accounting Clerk position is responsible for billing, collecting, posting and managing account payments. The ideal candidate will be required to investigate claims issues and staying afloat of account receivables. A strong background in medical billing, with the skills necessary to improve our current billing procedures and collecting on patient accounts.

Responsibilities include :

• Understand and adhere to established SHCS policies and Procedures
• Assist with recruiting, associate hiring, orientations, in-services, disciplinary actions, etc.
• Perform payroll duties including verifying time sheets and / or Telephony processing. Computer input of timesheet / Telephone changes for payroll processing.
• Preparing and submitting claims to various insurance companies electronically
• Enters new employee data into the payroll and processes payroll
• Resolving unpaid claims identified on aged A / R and various other reports, and also reviewing and responding to all billing-related correspondence
• Denial trends are researched and root causes are identified and reported to the Administrator for resolution
• Company Payroll
• Answering and triaging calls from caregivers, clients, insurance companies, and prospects
• Identifying and resolving insurance / patient billing complaints
• Assisting in recruiting on various job boards
• Sending MIF, CCNF, and calling VA regarding any expired Prior Authorizations
• Preparing, reviewing, and sending patient statements
• Ensuring all documents are submitted for proper billing : insurance verification forms, office notes, and encounters / superbills
• Reporting delinquent accounts to the Administrator & CEO
• Performing various collection actions including contacting Clients by phone, correcting and resubmitting claims to third-party payers
• Participating in educational seminars and staff meetings (monthly or weekly)
• Maintaining the strictest confidentiality and adhering to all HIPAA guidelines and regulations
• Such other tasks as the company may require and / or as needs evolve
• Generating, reviewing, and transmitting claims
• Payment Posting- Mail & ERA's
• Provide customer service regarding billing & collection issues, process and review account adjustments, and resolve client discrepancies and short payments.
• Follow up on submitted claims to ensure payer acceptance.
• Review rejected and / or denied claims, make corrections, and resubmit clean claims within the required time frame
• Review EOBs / ERA's for any missed opportunities
• Follow up on aged accounts receivables through final resolution
• Balance bill secondary, and tertiary insurance as well as patients
• Follow up on payment errors, over-payments, low reimbursements, rejections and denials
• Insurance verification
• Other duties as assigned based on billing, payment posting, and demographic entry, to ensure company goals are met and a team environment is maintained
• Maintain the confidentiality of the medical information contained in each record.
• Recording, monitoring, and processing Company QuickBooks.

Reviewing timesheets

Key Requirements :

Working Hours / Salary :

Part-time; Compensation to be determined upon review of credentials and experience.

Hours 9.00 am- 6 : 00 pm Monday - Friday.

Required experience / education :

Job Type : Full-time

Required education :

Required experience :

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