Location
Dallas, TX | United States
Job description
The Biller reports directly to the Billing Manager and is responsible for the proper and complete handling of all unbilled accounts. This position maintains close contact with branch location personnel while constantly and consistently monitoring that all billing is completed timely. This includes billing for all primary, secondary, tertiary or any other payer for all unbilled accounts including any and all guarantors for services provided. This is inclusive of claims to commercial, Medicare, Medicaid and private pay accounts.
Essential Job Functions
Maintains current unbilled at an acceptable amount.
Maintains unbilled DSO at an acceptable level.
Achieves cash goal on a quarterly basis.
Keeps manager, supervisor, and branch location personnel informed of any significant billing payer or processing issues.
Submits adjustments in an accurate and timely manner.
Requests Bridge Tickets to correct and update EMR.
Works with Collector to ensure claims are refiled and/or billed to the second insurance in a timely manner.
Understands payer specific requirements for submitting claims (i.e. includes CMN's, nursing notes, invoices, etc.).
Understands and enforces SOX 404 controls
Reviews and responds to correspondence received from payers and branches.
Reviews and submits guarantor statements as required. .
Addresses rejections in an accurate and timely manner.
Completes document request forms and forwards to location as required.
Provides exceptional customer service.
Evaluates data, reports, feedback, observations and other information in determining priorities.
Uses prior knowledge and industry specific, historical experiences in resolving problems.
Conducts all assignments as a professional and role model with a sense of urgency.
Uses professional communication and conflict resolution techniques as required.
References and reflects upon the Company mission, values, and strategic imperatives in completing and/or assigning all work.
Requirements
High school diploma or equivalent.
Minimum six (6) month prior healthcare insurance experience.
Computer literate and ability to type, file and maintain audit records.
Preferences
List
Other Skills/Abilities
Must be able to adhere to confidentiality standards and professional boundaries at all times
Attention to detail
Time Management
Ability to remain calm and professional in stressful situations
Strong commitment to excellence
Quick-thinking and astute decision making skills
Effective problem-solving and conflict resolution
Excellent organization and communication skills
Physical Requirements
Must be able to speak, write, read and understand English
Occasional lifting, carrying, pushing and pulling of 25 pounds
Prolonged walking, sitting, standing, bending, kneeling, reaching, twisting
Must be able to sit and climb stairs
Must have visual and hearing acuity
Must have strong sense of smell and touch
Environment
Performs duties in an office environment during agency operating hours
Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Headhunters and recruitment agencies may not submit resumes/CVs through this website or directly to managers. Aveanna does not accept unsolicited headhunter and agency resumes, and will not pay fees to any third-party agency or company that does not have a signed agreement with Aveanna.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Job tags
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