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Healthcare Non-Medicare Billing Specialist (Remote)
SimiTree Talent Solutions
- Location not stated
- Remote
- Manager or above
- 1 day ago
- Regulatory Compliance
- EMR
- Pension
1 day ago
Not enough detail in this posting to match
The Non-Medicare Specialist is responsible for managing the collection of outstanding accounts receivable from non-Medicare payers. This role involves ensuring timely and accurate payment of claims, resolving billing issues, and maintaining positive relationships with payers and clients.
About SimiTree
SimiTree provides client-centric services to home health, hospice, private duty, pediatrics, applied behavioral analysis, palliative care, and other post-acute organizations. Our organization is made up of clinical, operational, and revenue cycle experts who support our clients. SimiTree has developed a full suite of custom-designed services focusing on areas critical to quality improvement, operational efficiency, accurate reimbursement, and regulatory compliance.
To provide our clients with an opportunity to focus on core operations, SimiTree provides outsourcing services for Coding and OASIS reviews, Billing and Collections, and full Revenue Cycle services. SimiTree's client base ranges from small, community-based agencies to publicly traded national chains. We have both the technical expertise and the real-world experience to implement seamless solutions that assist agencies in a rapidly changing operational and regulatory environment.
Primary Responsibilities:
Non-Medicare Specialistwill be able to perform accounts receivable collection efforts including:
- Resolve denied or rejected claims for various insurance companies – specifically targeting commercial, HMO, PPO, Medicaid, Managed Care, and Medicare Advantage plans
- Perform claims resolution in various web portals, insurance company phone calls, and clearinghouses as assigned
- Achieve pre-established goals related to workflow, work quality, work quantity, transactions, processes and compliance requirements
- Identify and escalate high-level issues to the Supervisor for a quick resolution
- Submit updates of findings to Leadership and participate in internal huddles
- Development and maintenance of internal spreadsheets and databases, as necessary
- Knowledge of and communication regarding issues related to billing
- Other duties as assigned
Qualifications:
Interested candidates should have outstanding intellectual capability, maturity and judgment. Successful candidates will meet the following qualifications:
- High school diploma or equivalent
- 2+ years of healthcare revenue cycle experience, specifically in billing and collections
- Experience with Home Health/Hospice/Private Duty EMR systems a plus
- Excellent interpersonal skills, and an aggressive approach to excellence
- Provide excellent customer service to peers, management, and clients at all times
- Strong quantitative and analytic skills,initiative to problem solve
- Proficiency with Microsoft Office
- Ability to adapt to a rapidly changing working environment
Physical Requirements:
Activities requiring a significant amount of sitting at office and work desks in front of a computer monitor. Regularly required to verbally communicate, listen, and give presentations as needed.
Salary range/ Benefits:
$22.00- $28.00 per hour
The compensation scale listed is a general salary range and is not intended to represent the actual annual or hourly compensation rate for this role. An offer will be made to the selected candidate at the conclusion of the interview process based on their relevant experience and the responsibilities of the position. SimiTree offers a competitive compensation package including health, vision, and dental insurance, PTO, retirement plans (401K), holiday paid time off, life insurance, sick time, and opportunities for professional development.
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Healthcare Non-Medicare Billing Specialist (Remote) · SimiTree Talent Solutions