Our CompanyAmerita OverviewAmerita, Inc. is a leading provider in Home Infusion therapy. We are looking for a Billing Specialist to join our Revenue Cycle Management team as we grow to be one of the top home infusion providers in the country. As a core member of the Billing team, you will be responsible for a broad range of billing processes related to managing the Ready to Bill unbilled revenue. The Billing Specialist will report to the Billing Manager and work in our Centennial, CO office. Mon - Fri 8:30AM - 5:00PM Medical, Dental & Vision Benefits plus, HSA & FSA Savings Accounts Supplemental Coverage – Accident, Critical Illness and Hospital Indemnity Insurance 401(k) Retirement Plan with Employer Match Company paid Life and AD&D Insurance, Short-Term and Long-Term Disability Employee Discounts Tuition Reimbursement Paid Time Off & Holidays ResponsibilitiesAs a Billing Specialist, you will
Ensure daily accomplishments work towards company goals for cash collections and Accounts Receivable over 90 days, Ready to Bill under 14 days, weekly and month-end close processes and other departmental goals as outlined.
Understand and adhere to state and federal regulations and company policies regarding compliance, integrity, patient privacy and ethical billing practices.
Manage the Ready to Bill queue on a daily basis; perform Quality Assurance to ensure accurate and timely creation of new claims and generic invoices; ensure submitted claims meet payer guidelines.
Process confirmed tickets in "unworked" status within 48 hours of confirmation date; assign appropriate status to ensure proper handling by branch and billing personnel; make necessary demographic changes to reduce rejections of submitted electronic and paper claims.
Work "resolved" unbilled tickets within 24 hours to "ready" or next status for resolution.
Conduct billing utilizing most efficient resources to secure timely payment of open claims or invoices, giving priority to electronic solutions.
Participate in branch Ready to Bill conference calls.
Identify patterns of non-compliance by branch staff in completing patient registration, supporting billing documentation and delivery tickets.
Review delivery tickets for accuracy and complete claims per payer-specific guidelines.
Submit secondary billing in a timely mannerwith appropriate supporting documentation per payer specific guidelines to ensure expected revenue is allowed.
Research websites of assigned payers to bill for payer updates and shares updates accordingly.
Communicate consistently and professionally with other Amerita employees.
Work within specified deadlines and stressful situations.
Work overtime when necessary to meet department goals and objectives.
Qualifications
High School Diploma/GED or equivalent required; some college a plus
A minimum of 3 to 4 years experience in medical billing with a working knowledge of managed care, commercial insurance, Medicare and Medicaid reimbursement; home infusion experience a plus
Must have experience auditing documentation to insure compliance with payer requirements
Working knowledge of automated billing systems, experience with CPR+ preferred
Working knowledge and application of metric measurements, basic accounting practices, ICD-9, CPT and HCPCS coding
Solid Microsoft Office skills, typing 40 wpm and proficiency with 10-key calculator
Ability to independently obtain and interpret information
Strong verbal and written communication skills
About our Line of BusinessAmerita is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness and entrepreneurial spirit of a local provider. For more information about Amerita, please visitwww.ameritaiv.com. Follow us onTwitter (https://twitter.com/AmeritaIV) and LinkedIn (https://www.linkedin.com/company/amerita-inc/) .Salary RangeUSD $20.00 - $21.00 / HourALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com . Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information. Job LocationsUS-CO-ENGLEWOODID 2024-149407 Line of Business Amerita Position Type Full-Time Pay Min USD $20.00/Hr. Pay Max USD $21.00/Hr.
Full-time