This position is the ideal role for a candidate who has experience managing the revenue cycle process for Medicare and Medicare Advantage home health patients. This role has the opportunity to transition into a direct management role as our Medicare clientele continues to grow.
Responsibilities include:
- Maintaining timely NOA submissions to avoid payment reductions
- Coordinating with the Operations team to obtain all needed documentation for claim submission
- Ensuring that codes are assigned correctly and sequenced appropriately per government and insurance regulations
- Prompt and accurate claim submission for Medicare and Medicare Advantage patients
- Accurately diagnose and resolve denial remarks for Medicare and Medicare Advantage claims
- Identifying, tracking and completing additional documentation requests
- Assisting with investigative research related to coding questions as well as state and federal policies
- Identifying and preventing potential billing errors, abuse and fraud
- Assisting in development of new processes within the billing and other departments
Required Qualifications:
- 2-3 years of experience in Medicare billing / coding
- Strong knowledge of medical terminology, CMS regulations / guidelines, including CPT, HCPCS, ICD-10, CMS-1500 and UB04 data elements
- Strong attention to detail and ability to interpret clinical documentation
- Strong experience with Microsoft Office (particularly Microsoft Excel and Outlook)
- Excellent written and verbal communication skills
- High School Diploma or equivalent (GED) required
- Commitment to maintaining confidentiality while adhering to ethical standards in healthcare coding and review
- Extensive experience navigating through Medicare-related portals
Preferred Qualifications:
- AAPC Certifications (CPC, CPB, CCS, COS)
- Ability to sustain efficient work in fast-paced work environment.
- 2-3 years of customer service experience
- Home Health coding experience (2+ years)
- Experience with KanTime (EMR)
This position is full-time, Monday-Friday. Employees are required to work our normal business hours of 8:00 AM - 5:00 PM. It may be necessary, given the business need, to work occasional overtime.
Schedule:
- Day shift
- Monday to Friday
- Weekend availability
Supplemental pay types:
Work Location:
Job Type: Full-time
Pay: From $55,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- Medicare: 3 years (Required)
- Home health: 3 years (Required)
- Medical coding: 3 years (Required)
License/Certification:
- Certified Professional Coder (Preferred)
- Medical Billing Certification (Preferred)
Location:
- Plano, TX 75074 (Required)
Ability to Commute:
- Plano, TX 75074 (Required)
Ability to Relocate:
- Plano, TX 75074: Relocate before starting work (Required)
Work Location: In person