High school diploma or equivalent required; additional certification in medical billing preferred., Proficiency in medical billing software and electronic health records (EHR)., Strong understanding of medical terminology and coding systems (CPT, ICD-10)., Excellent attention to detail and organizational skills..
Key responsibilities:
Process and submit medical claims to insurance companies and follow up on unpaid claims.
Review patient bills for accuracy and completeness before submission.
Communicate with healthcare providers and insurance companies to resolve billing issues.
Maintain patient confidentiality and comply with HIPAA regulations.
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KidsCare Home Health is a pediatric home health agency serving children with special needs across the country. We focus on private duty nursing, speech therapy, physical therapy, and occupational therapy as well as provide case management for children ages zero through 18.
KidsCare Home Health has been providing quality pediatric home health care to the Dallas/Fort Worth metroplex since 2003, when speech therapist and company owner Cortney Baker started treating children in their homes. Her belief that therapy is most effective when conducted one-on-one, in a familiar environment that includes family members and caregivers led to the creation of a company that has since grown to include hundreds of speech, physical, occupational therapists, and nurses, and patients across branches throughout the U.S.; however, that original commitment to providing quality health care to every child serviced has never changed.
http://kidscarehomehealth.com/
http://www.facebook.com/KidsCareHH
Denials & Appeals Specialist- Join our Fast-Paced, Problem-Solving Team!
We are seeking a
Denials & Appeals Specialist
to join our central billing office team located in Dallas.In this role, you’ll play a key part in ensuring accurate claims processing, tackling denials, managing resubmissions, and driving successful collections for home health services across multiple payer sources. Every day will bring new puzzles to solve and fresh opportunities to make an impact. Our hybrid environment allows for in office collaboration and learning, while providing work life balance and flexibility!
Ideal Candidates will have
Strong attention to detail, research, and analytical skills.
A collaborative mindset to work seamlessly with your team.
Excellent communication skills and a willingness to accept feedback.
A passion for problem-solving and navigating complex issues.
Experience with medical billing denials, appeals, ERAs/EOBs
Consistently meet and adhere to department and payer deadlines
Key Responsibilities
Navigate systems to file timely reconsiderations and appeals.
Communicate with payers to track and resolve balances, correct and reprocess claims, and appeal discrepancies.
Investigate and resolve claim denials, ensuring accurate corrections and timely resubmissions.
Review and resolve unpaid balances on assigned accounts.
Conduct eligibility checks across various insurance providers, ensuring timely holds/discharges and notifying relevant parties.
Collaborate across departments, maintain compliance, and deliver excellent customer service.
Qualifications
High school diploma or general education degree (GED).
Two (2) years of medical billing experience preferred.
Proficiency in Microsoft Excel and Medical Billing Systems.
KidsCare Home Health provdies a competitive benefits and compensation package that includes medical, dental, vision, paid time off, holidays, 401k, and tuition reimbursement! We are proud to be a multi year Top Workplace Award winner!
INDA