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.