Ensure the coordination of claim activities, and timely reimbursement of receivables.
Research, resolve, and prepare claims that have not passed the payer edits daily.
Determine and initiate action to resolve rejected invoices.
Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances.
Clear payment variances, resolving differences, and initiating corrective action.
Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing.
Prepare input data forms to update computer system.
Review and communicate with agencies to educate them about expectations for clean claims.

High School Diploma or the equivalent
2 or more years of medical claims processing experience
Knowledge of healthcare collection procedures and software/hardware
Proficient with Microsoft Office applications including Word, Excel, Outlook and Teams
Excellent customer service skills
Excellent verbal and written communication skills

medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
short-term and long-term disability
life insurance
many other opportunities

Home Health Self Pay Patient Accounts Receivable Specialist

Key skills