Home Care PFS Accts Rec Rep

Client Summary: Our Client has been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives.

Job Description: Home Care PFS Accts Rec Rep

The primary focus of the accounts receivable representative is to provide consistent follow up on the open account receivables.Responsible to review payments received for services rendered and to determine contractual compliance. Responsible to provide payment disputes to third parties in a timely manner per payor, contractual and regulatory guidelines. Work with interdisciplinary team and appropriate pre-cert coordinator to assure authorization issues are resolved.

Essential Functions
1. Review of the accounts receivable reports and explanation of benefits to determine outstanding balances for follow up. Perform payment disputes timely and in accordance with payor, contractual and regulatory guidelines. Document all follow up activities into the patient's medical record.
2. Review payments for accuracy. Identify and report all issues and identified trends related to contractual compliance utilizing the payor issue process to management.
3. Complete payor projects as assigned and document all follow up activity.
4. Perform as necessary, eligibility checks, payer changes, crediting and resubmission of claims.
5. Assist in obtaining/maintaining department's cash goals.
6. Provide all home care patient financial services functions in accordance with the company, CHHC policy and all regulatory and accrediting agency guidelines
7. Perform other duties as assigned by management.

Education Requirement: High School Diploma / GED Required

Work Experience

• At least one (1) year experience with computers. Required
• At least two (2) years experience in health care billing. Required
• Level 2A Worker No Covid Vaccine Required

Knowledge, Skills, Abilities:

• Previous billing/reimbursement experience.
• Strong organizational skills.
• Strong verbal and communication skills.
• Basic application and computer skills.
• Strong data entry skills

Schedule Notes: We are looking for someone with extensive Billing experience and possibly a CPC certification. 3 days remote/ 2 week in office Tuesday and Wednesday, Daytime - 8:30-5pm EST Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners.

Benefits offered to our workers include the following:

• Medical Insurance
• Vision & Dental insurance
• Life Insurance
• 401K
• Commuter Benefits
• Employee Discounts & Rewards
• Payroll Payment Options