AHC is owned and managed by a RN who understands the needs of the staff and is a dedicated advocate for the clients. Our family owned skilled Home Health Agency is seeking to hire an in house Medical Biller. Responsible for managing accurate, timely completion and submission of all the billing, collections, and accounts receivable functions associated with Home Health claims.

DUTIES & RESPONSIBILITIESEnsures reimbursement through efficient billing and collections operations and effective accounts receivable management.
Provides oversight and approval of claims audits and processing. Conducts final billing audit and issues assignments to pre-billing team when findings require further documentation.
Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
Advises Supervisor in matters of accepting/declining problematic payers.
Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
Monitors aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
Gathers, collates, and reports key billing information to billing team. Works with Executive Leadership Team in strategizing monthly, quarterly and annual goals for optimized billing efficiency.
Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger.
Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system.
Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
Supervises and reconciles cash receipts and bank deposits according to policy.
Establishes and maintains positive working relationships with patients, family members, payers and referral sources.
Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.
Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)Associate's degree in Accounting, Business Administration or related field, Bachelor’s degree preferred.
At least three years’ experience in health care billing and collections management preferably in home health operations. Billing information systems knowledge required.
Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
Demonstrated capability to accurately manage detailed information.
Able to deal tactfully with patients, family members, referral sources and payers.
Demonstrates autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.

Job Types: Part-time, Contract

Pay: Up to $20.00 per hour

Benefits:

• Flexible schedule

Schedule:

• Day shift
• Monday to Friday

Ability to commute/relocate:

• Saint Clair Shores, MI 48080: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Preferred)

Work Location: One location

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