Note: The job is a remote job and is open to candidates in USA. CenterWell Senior Primary Care is a leading healthcare services business focused on creating integrated and differentiated experiences for patients. They are seeking a Home Health Self Pay Patient Accounts Receivable Specialist to coordinate claim activities, ensure timely reimbursement, and support agency personnel in claims processing.
Responsibilities
- Ensure the coordination of claim activities, and timely reimbursement of receivables
- Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected invoices
- Analyze each agency's outstanding monthly accounts receivable, and process claims to obtain zero balances
- Clear payment variances, resolving differences, and initiating corrective action
- Guide/instruct and support agency personnel encompassing all aspects of insurance and non-Medicare claims processing
- Prepare input data forms to update computer system
- Review and communicate with agencies to educate them about expectations for clean claims
Skills
- High School Diploma or the equivalent
- 2 or more years of medical claims processing experience
- Knowledge of healthcare collection procedures and software/hardware
- Proficient with Microsoft Office applications including Word, Excel, Outlook and Teams
- Excellent customer service skills
- Excellent verbal and written communication skills
Benefits
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Home or Hybrid Home/Office employees will be provided with telephone equipment appropriate to meet the business requirements for their position/job.
- Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being.
- Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work.
- Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
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