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Trilogy Quality Assurance

Job Overview We are seeking a detail-oriented and energetic Billing Specialist with Home Health experience to join our dynamic healthcare team. In this role, you will be responsible for managing the billing process for home health services, ensuring accurate and timely submission of claims, and maintaining compliance with industry standards. Your expertise will help optimize revenue cycles while providing exceptional support to our healthcare providers and patients. If you thrive in a fast-paced environment and have a passion for healthcare billing, this is an excellent opportunity to make a meaningful impact.Responsibilities<ul><li>Prepare and submit medical claims using appropriate coding systems such as CPT (Current Procedural Terminology), ICD-9, ICD-10, and DRG (Diagnosis-Related Group) classifications.</li><li>Must have experience with Kentucky Medicaid, Medicare Advantage, Medicaid Advantage, Commercial.</li><li>Cash Posting, Billing reports</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems to access patient information and process billing transactions efficiently.</li><li>Verify insurance coverage, benefits, and authorizations to facilitate smooth claim processing.</li><li>Follow up on unpaid or denied claims through medical collections processes, working diligently to resolve discrepancies.</li><li>Maintain detailed records of billing activities, claim submissions, adjustments, and payments for audit purposes.</li><li>Stay current with industry regulations, coding updates, and payer policies to ensure compliance and maximize reimbursement.</li></ul>Experience<ul><li>Proven experience in medical billing within a home health setting is required, Palliative and Hospice experience a plus</li><li>Strong knowledge of medical coding including CPT coding, ICD-9, ICD-10, ICD coding, and DRG classifications.</li><li>Familiarity with medical terminology, medical records management, and the intricacies of medical office workflows.</li><li>Hands-on experience with EMR/EHR systems used in home health agencies or similar healthcare environments.</li><li>Demonstrated ability to handle medical collections effectively while maintaining professionalism.</li><li>Excellent attention to detail combined with strong organizational skills to manage multiple billing tasks simultaneously.</li><li>Prior experience working with Medicare, Medicaid, or private insurance payers is highly preferred. Join us in delivering exceptional healthcare services by ensuring accurate billing processes that support our mission of compassionate patient care!</li></ul>Pay: $21.50 - $24.50 per hourWork Location: Remote

Billing Specialist- Home Health- Kentucky Medicaid experience REQUIRED

Join Trilogy Quality Assurance and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Trilogy Quality Assurance

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Billing Specialist- Home Health- Kentucky Medicaid experience REQUIRED