Home Health Billing and Eligibility Specialist Job at Interim HealthCare of Mercer, Lawrenceville, NJ

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  • Interim HealthCare of Mercer
  • Lawrenceville, NJ

Job Description

Job Description

Job Description

Home Health Office seeking medical billing, coding and eligibility specialist. Hybrid position will be considered. Part-time initially - will be increasing to full-time with benefits. Applications to be accepted and considered until June 1, 2025. Position will begin between June and July, 2025. 

General Purpose:

Facilitates prompt and accurate billing, determines patient and client insurance eligibility and coverage, monitors the client receivable status, and initiates collection protocols to prevent past due invoices.

Essential Functions:

  • Performs branch payroll activities including, but not limited to, transferring/inputting client orders to the system, organizing and inputting time slips, verifying visit for each client, calculating pay, making appropriate deductions, auditing input and ensuring readiness for payroll processing.
  • Complies with all federal, state and local laws and regulations regarding the payroll function by using the appropriate accounting standards.
  • Provides management with needed billing reports.
  • Generates billing information from the system and sends to appropriate party.
  • Maintains billing system, including entering and assuring accuracy of all billing information.
  • Tracks all invoices with special payment terms, including credit card and bank drafts.
  • Responds to inquiries from clients, payer and offices in a timely manner. Takes appropriate steps to resolve areas of concern within limits of authority.
  • Documents all client calls in the billing system.
  • Provides weekly reports for management.
  • Analyzes accounts receivable file to determine potential receivable problems.
  • Contacts clients and payer sources to facilitate debt collection.
  • Serves as liaison between billing and monitoring centers to ensure prompt and accurate invoicing.
  • Monitors the aging report and send appropriate alerts to enter for delinquent accounts.
  • Recommends strategies to improve collection on past due accounts.
  • Determines eligibility for services based on insurance coverage.
  • Reviews account receivable file to determine potential bad debts and notify manager with recommended write-offs.
  • Prioritizes workload to complete tasks within required timeframe.
  • Completes other assignments as requested and assigned.
  • May have access to personal health information (“PHI”) necessary to fulfill the above duties and responsibilities. Access to use and ability to disclose PHI is further defined by each organization/department.

Minimum Education & Experience Requirements:

  • Associate Degree in Accounting or equivalent years experience and training OR
  • Certificate in medical coding/billing
  • Two (2) years collections and billing experience, preferably in the home health industry.

Knowledge, Skills & Abilities Required:

  • Strong background of problem solving regarding billing and payables issues.
  • Detail oriented with strong organization, analytical and problem-solving skills.
  • Advanced communication and interpersonal skills.
  • Proficient with Microsoft Word, Excel and PowerPoint software.
  • Ability to read and interpret financial reports.
  • Demonstrated ability to work under pressure with multiple tasks, changing priorities, short deadlines and heavy workload.
  • Working Conditions & Physical Effort:
  •  
  • Work is normally performed in a typical interior/office work environment.
  • Ability to work flexible schedule and/or evening hours as needed.
  • Ability to sit in front of CPU for long periods of time.
  •  
  • Physical activity is sedentary and may require occasional lifting or carrying up to 10 lbs.

Job Tags

Full time, Part time, Local area, Home office, Flexible hours, Afternoon shift,

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