
Medical Billing Specialist
9 hours ago
The Billing Specialist – Home Healthcare Services is responsible for accurate and timely billing, claim submission, and resolution of billing-related issues for Home Health Care agencies. This role requires expertise in payer-specific guidelines, compliance with Medicare and Medicaid policies, and ensuring error-free claims to maximize reimbursement and reduce denials.
Responsibilities:
- Prepare and submit clean claims for Home Health Care services to insurance companies, Medicare, and Medicaid.
- Ensure accuracy in charge entry and billing as per payer guidelines and CMS regulations.
- Verify patient eligibility, authorization, and coverage details before claim submission.
- Work on claim edits, rejections, and denials to ensure timely resolution.
- Monitor and maintain billing-related reports to track submission status and cash flow.
- Collaborate with AR and coding teams to resolve discrepancies and ensure accurate documentation.
- Stay updated with regulatory changes affecting Home Health Care billing.
- Maintain compliance with HIPAA regulations and safeguard patient information.
Requirements:
- Bachelor's or Master's degree.
- 2+ years of experience in billing for Home Healthcare agencies.
- Strong knowledge of US healthcare billing, Medicare, Medicaid, and commercial payers.
- Familiarity with HCPCS, CPT, and ICD-10 coding relevant to Home Health Care services.
- Proficiency in Home Healthcare specific medical billing software.
- Attention to detail with strong analytical and problem-solving skills.
- Excellent written and verbal communication skills.
- Ability to work independently in a fast-paced environment.
- Leave Encashment
Timings:5pm - 2am.
Job Type:Full-time
Location: Gulberg, Lahore.
Please share your resume at arif.riaz@virtualsourcingsolutions.com
Seniority level- Seniority levelEntry level
- Employment typeFull-time
- Job functionHealth Care Provider
- IndustriesOutsourcing and Offshoring Consulting
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