Job Information
HCR Home Care Billing Specialist (In-Office) - Rochester, NY in Rochester, New York
Role and Responsibilities
The Billing Specialist position is a member of the Billing Team which reports up through the Finance Department. The Billing Specialist is responsible for bill file routing, uploading, error correction, and re-submission.
Essential Functions
Responsible for submitting and receiving all electronic claim files and payer response/rejection files, and for researching and re-submission of claims rejected by clearing house/payer.
Work pre-post reports prior to submission to ensure claims are correct.
Initiate and complete enrollment process for payers/providers in medical clearing house.
Assist in adding and maintaining the HCHB payer setup process.
Support, maintain, and administer multiple data systems for commercial insurances.
Daily mapping, testing, processing, monitoring, logistics/order processing support, and reporting.
Collaborate with manager and Billing Team to help complete billing claim workflows.
Use appropriate documentation, reference materials, and/or websites to ensure that billing claims are processed accurately and efficiently.
Monitor the number and types of claim rejections; resolve and report issues to Revenue Cycle Manager in order to ensure every service is billed accurately and timely.
Assist in the development of a Billing Manual.
Produce high quality work that is complete and accurate.
Other duties as assigned.
This job description reflects managements assignment of essential functions; and nothing in this herein restricts managements right to assign or reassign duties and responsibilities to this job at any time.