HOME HEALTH BILLING & REIMBURSEMENT SPECIALIST

Why Beebe?
Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community.  Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.
In addition to competitive compensation and wellness benefits (medical, dental, vision, and prescription) Beebe Healthcare also offers:
- Sign-on and Referral Bonuses for select positions
- Tuition Assistance up to $5,000
- Paid Time Off
- Long Term Sick accrual
- Employer Contribution Plan
- Free Short and Long-Term Disability for Full Time employees
- Zero copay for drugs on prescription plan for certain conditions
- College Bound 529 Savings Plan
- Life Insurance
- Beebe Pers via WorkAdvantage
- Employee Assistance Program
- Pet Insurance
Overview
Responsible for all aspects of billing and reimbursement with emphasis on Medicare PPS and compliance, and cash posting, accounting. Responds to billing inquiries and denials.
Responsibilities
- Manage home health billing and reimbursement activities, ensuring compliance with Medicare PPS and third-party payer requirements.
- Verify insurance coverage and maintain accurate patient billing information within the Home Health EMR.
- Submit, monitor, and follow up on claims to ensure timely and accurate reimbursement.
- Investigate and resolve claim denials, payment discrepancies, and billing inquiries.
- Post payments, adjustments, and accounts receivable transactions accurately.
- Maintain complete documentation and update records within the Home Health EMR system.
- Communicate billing issues, reimbursement delays, and payer changes to the Reimbursement Analyst.
- Generate billing and accounts receivable reports and assist with revenue cycle improvement efforts.
- Collaborate with Home Health team members and other departments to support efficient reimbursement processes.
- Maintain current knowledge of reimbursement regulations, coding requirements, and payer guidelines.
- Perform other duties as assigned.
Qualifications
- Minimum of three (3) years of experience with third-party reimbursement in a healthcare patient accounting, billing, or revenue cycle environment.
- Minimum of three (3) years of experience in healthcare billing, reimbursement, accounts receivable, or denial management.
- Home Health billing and reimbursement experience required.
- Experience working with Medicare PPS reimbursement methodologies and compliance requirements.
- Strong knowledge of third-party payer reimbursement processes, including Medicare, Medicaid, and commercial insurance plans.
- Thorough understanding of UB-92/UB-04 billing requirements and claim submission processes.
- Knowledge of ICD-9, ICD-10, CPT, and HCPCS coding principles.
- Experience with denial management, appeals, and reimbursement recovery.
- Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint.
- Demonstrated experience working in information technology environments and healthcare database management systems.
- Strong financial analysis and accounts receivable management skills.
- Ability to develop, analyze, and prepare reports related to reimbursement and revenue cycle performance.
- Exceptional attention to detail and accuracy.
- Excellent verbal, written, and interpersonal communication skills.
- Ability to manage multiple priorities, meet deadlines, and work independently.
- Strong problem-solving and critical-thinking abilities.
Credentials
- Certified Billing and Coding Specialist (CBCS) preferred.
- Additional revenue cycle, coding, or reimbursement certifications are a plus.
Education
- High School Diploma or GED required;
- Associate's degree in Healthcare Administration, Business, Finance, Accounting, or related field preferred.
Entry
USD $17.50/Hr.
Max
USD $27.13/Hr.

- Manage home health billing and reimbursement activities, ensuring compliance with Medicare PPS and third-party payer requirements.
- Verify insurance coverage and maintain accurate patient billing information within the Home Health EMR.
- Submit, monitor, and follow up on claims to ensure timely and accurate reimbursement.
- Investigate and resolve claim denials, payment discrepancies, and billing inquiries.
- Post payments, adjustments, and accounts receivable transactions accurately.
- Maintain complete documentation and update records within the Home Health EMR system.
- Communicate billing issues, reimbursement delays, and payer changes to the Reimbursement Analyst.
- Generate billing and accounts receivable reports and assist with revenue cycle improvement efforts.
- Collaborate with Home Health team members and other departments to support efficient reimbursement processes.
- Maintain current knowledge of reimbursement regulations, coding requirements, and payer guidelines.
- Perform other duties as assigned.

- Minimum of three (3) years of experience with third-party reimbursement in a healthcare patient accounting, billing, or revenue cycle environment.
- Minimum of three (3) years of experience in healthcare billing, reimbursement, accounts receivable, or denial management.
- Home Health billing and reimbursement experience required.
- Experience working with Medicare PPS reimbursement methodologies and compliance requirements.
- Strong knowledge of third-party payer reimbursement processes, including Medicare, Medicaid, and commercial insurance plans.
- Thorough understanding of UB-92/UB-04 billing requirements and claim submission processes.
- Knowledge of ICD-9, ICD-10, CPT, and HCPCS coding principles.
- Experience with denial management, appeals, and reimbursement recovery.
- Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint.
- Demonstrated experience working in information technology environments and healthcare database management systems.
- Strong financial analysis and accounts receivable management skills.
- Ability to develop, analyze, and prepare reports related to reimbursement and revenue cycle performance.
- Exceptional attention to detail and accuracy.
- Excellent verbal, written, and interpersonal communication skills.
- Ability to manage multiple priorities, meet deadlines, and work independently.
- Strong problem-solving and critical-thinking abilities.