The Role
Prepare and submit clean insurance claims, resolve billing issues with patients and payers, manage and post A/R and remittance advice, maintain collection notes in the EHR, send and respond to client statements, communicate policy and billing issues across teams, be available for on-call/extended hours, and maintain payer and reimbursement knowledge.
Summary Generated by Built In
Job Summary & Responsibilities
Why choose Eden? As a 100% Employee Owned company, we recognize that our people are our most valuable asset. We honor their importance by our recognition that all employees be treated with respect and integrity at all times. We’re interested in you and want you to succeed. Our business is growing rapidly and we want you to grow with us. We have infinite room for advancement, both personally and professionally. We work hard to match you with a position that best fits YOUR skills and YOUR availability. In addition, Eden Health is a Certified Great Place to Work company, 7 years in a row!
The Eden Difference: We bring Connected Care Home through our Core Values of Empathy, Dedication and Integrity to our clients, patients and Employees. Besides a strong family oriented culture unique to Eden, we offer:
- Benefits starting as early as 30 days after start date
- Employee Discounts on travel, resorts, car rentals, Columbia and so much more!
- Employee Hardship Fund
- Bonuses Program
- Employee Stock Program (ESOP)
- Employee Wellness. Family first culture
- Paid Time Off for a Personal Day of your choosing
- Financial Planning through Unum
- Free Counseling Sessions through Unum
Career Benefits:
- Training and educational Assistance
- Career Advancement Opportunities
Financial Benefits:
- 401k Retirement Savings Plan
- Employee Stock Ownership Plan
- Flexible Spending Accounts
- Life, Accident, & Disability Insurance
- Paid Holidays
- Continuing Education Credits are paid for – we offer online and in-person education
- Discounts with AT&T Wireless, National and Enterprise car rentals
- Discounted tickets to a variety of events (Disney Land, Disney World, Universal Studios, SeaWorld, Local Concert/Sporting Events, Hotels/Resorts, etc.)
Personal Benefits:
- Paid sick leave and vacation time – eligible employees start accruing time on their first day of employment
- Identity Theft Protection
- Employee Assistance Program
- Employee Hardship Fund
- Floating Personal Holiday – use it on your birthday or any other day of the year!
- Dental, Medical, Vision available for full-time status
- Prepares and submits clean claims to various insurance companies for assigned locations/payers.
- Answers questions from patients, staff and insurance companies. Identifies and resolves billing complaints/issues.
- Reviews outstanding A/R balances for prompt payment from payment sources.
- Input and manage collection notes as appropriate in the Electronic Health Record (EHR).
- Analyzes remittance advice to ensure accurate posting of rejections, payments, and contractual adjustments timely.
- Send client statements and answer questions related to client statements including complaint resolution, as necessary.
- Communicates policies, procedures, errors, and issues with appropriate team members and departments.
- Available for on-call and extended hours as assigned.
- Demonstrates ability to communicate effectively and express ideas clearly.
- Attends and contributes during meetings.
- Demonstrates initiative to meet the needs of the Agency by assisting coworkers when workload permits.
- Provides assistance in a courteous manner and treats others with care and respect.
- Maintains a working knowledge of payer practices and reimbursement methodologies and becomes a subject matter expert in assigned A/R responsibilities.
- Other duties as assigned and appropriate to the position.
- Minimum High School Diploma
- Home Health, Hospice, Palliative and/or Private Pay billing experience preferred
- Knowledge of CPT/HCHPCS codes, Home Health/Hospice terminology and claims processing preferred
- EHR experience
- Ability to function under minimal supervision in a fast paced, dynamic environment
- Strong written and verbal communication skills
- Project professional image
- Excellent telephone skills
- Ability to develop and maintain business relationships
- Demonstrated ability to work collaboratively across an organization
- Excellent interpersonal and customer service skills, including staying professional in difficult situations
- Proficient in MS Outlook, Excel and Word
- Ability to take direction, yet work independently and display initiative and motivation
- Able to communicate effectively in English verbally and in writing
- Valid driver’s license and reliable transportation
- Able to pass criminal background check and national sex offender clearance
20.00-23.00
Skills Required
- Minimum High School Diploma
- Able to pass criminal background check and national sex offender clearance
- Able to communicate effectively in English verbally and in writing
- Home Health, Hospice, Palliative and/or Private Pay billing experience
- Knowledge of CPT/HCPCS codes and Home Health/Hospice terminology
- EHR experience
- Proficient in Microsoft Outlook, Excel and Word
- Excellent telephone, interpersonal and customer service skills
- Ability to function under minimal supervision and work independently
- Valid driver's license and reliable transportation
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The Company
What We Do
Eden Health is a 100% employee-owned company providing Home Health, Hospice, Home Care, and Palliative Care services with a mission to deliver outstanding and innovative healthcare.
