Posted: 05-Jan-23
Location: La Mirada, California
Salary: Open
Categories:
Internal Number: 17807
We’re a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical offices, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer and emergency services. Our leadership is dedicated to putting patients first—a cornerstone of our mission, vision and values—as we deliver top-quality healthcare.
From our extensive facilities in Whittier, California and Downey, California, PIH Health serves more than two million residents in Los Angeles and Orange Counties and throughout the San Gabriel Valley.
Under the supervision of the Revenue Cycle Manager, this position is responsible for the timely and accurate billing of commercial/group insurance/Medicare/Medi-Cal/managed care and self-pay home health/hospice accounts, posting of payments/remittance advices, review of unpaid claims/patient accounts and use procedural guidelines to reduce the outstanding dollars on accounts receivable. This includes the billing and electronic submission of claims; performing consistent collection and accounts receivables follow-up practices; processing and posting of payments; identification and preparation of appropriate write-offs; accurate resolution of all credit balances and timely response to assigned payer correspondence to ensure proper claim reimbursement. Understands Home Health and Hospice billing rules and demonstrates compliance to federal, state billing requirements. Ensures compliance to payer contracted billing requirements. Verifies all pertinent data for completeness and accuracy. Collaborates with all teams and payers to effectively process clean claims, obtain reimbursement and resolve patient accounts.
- Competency in use of a computer, 10-key adding machine, calculator, fax machine, photocopy machine and multi-phone line.
- Ability to perform multiple tasks, good mathematical skills, sound decision making abilities and good verbal and written communication skills.
- Comprehensive knowledge in word processing and spreadsheets (Excel and Word) and ability to learn new computer systems and software.
- Must be able to prioritize and complete duties in a timely manner to accomplish both individual and team goals.
Required:
- High school graduate
- Minimum two (2) years in home health/hospice commercial and group insurance billing and collection experience.
- Knowledge of commercial/group insurance HMOs/PPOs, Medicare, Medi-Cal billing requirements and regulations.
- Understanding of CMS rules and regulations concerning accurate claims submission.
- Knowledge of payment posting, proficient in reading and comprehending ERAs and SPRs.
Preferred:
- Two years’ college or medical billing certification
- Medical terminology knowledge
Beyond the benefits that come with working for the area's leading community healthcare provider – one that also recognizes the need to ensure patient safety and comfort – you'll enjoy an extremely competitive compensation and benefits package. We are an equal opportunity employer and seek diversity in our workforce. EOE M/F/D/V
