Billing

Great opportunity to join a well-respected, fast-growing healthcare company based in Texas and Southeastern Oklahoma.

Role and Responsibilities:

• Ensure daily accomplishments work towards company goals for cash collections and A/R over 90 days, Ready to Bill under 14 days, weekly and month-end close processes, and other departmental goals as outlined
• Manage the Ready to Bill queue daily; perform QA to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines
• Process confirmed tickets in “unworked” status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims
• Work “resolved” unbilled tickets with 24 hours to “ready” or next status for resolution
• Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices; electronic solutions should be given priority
• Review delivery tickets for accuracy and complete claims per payer specific guidelines
• If applicable, submit secondary billing in a timely manner with appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed
• Research websites of assigned payors to identify payor updates and share updates accordingly
• Work within specified deadlines and stressful situations
• Communicate consistently and professionally with other TANYRemployees
• Work overtime when necessary to meet department goals and objectives
• Perform other tasks or special projects as assigned

Qualifications and Education Requirements:

• High School Diploma or equivalent (GED)
• Excellent interpersonal, communication, and organizational skills
• Ability to prioritize, problem solve, and multitask
• Minimum 1-2 years experience in medical billing (preferably home infusion) with a working knowledge of managed care, commercial insurance, and Medicare reimbursement preferred
• WellSky (CPR , CareTend) billing experience

Required Skills:

Basic Microsoft Office, specifically WORD and EXCEL

http://www.tanyrhealthcare.com/