Billing Specialist - Home Care - Boca Raton

Company Overview:

At CareGivers of America (CGA), our referred in-home caregivers provide a range of services aimed at ensuring the comfort, safety and compassionate care of a family’s loved ones. Home care isn’t just tailored for aging seniors seeking care in the comfort of their homes; it’s also a valuable option for those recuperating from surgery, living with special needs, or managing chronic conditions. In-home caregivers can offer both short-term and long-term services, guaranteeing a family’s loved one’s comfort and well-being in the familiar surroundings of their own home, whether their needs call for support over a few months or several years.

Our administrative team plays a significant role in supporting our clients and caregivers. Compassionate Expertise is a team commitment with a dedication to delighting every client and to delivering services at the highest level of excellence possible. This position is critical to meeting our commitment to each client every day.

Key Responsibilities:

1. Billing and Insurance Process (LTC Patients):

• Set Up LTC Payers for New Clients:
• Set up basic payer information based on Verification of Benefits (VOB) or private pay set-up.
• Ensure all payer details (payer name, contact info, policy numbers) are entered correctly into the system.
• Confirm accuracy of payer information and details.
• Set up authorization or ensure that a client is set up as a secondary payer to prevent unbilled
• Weekly Billing and Reconciliation:
• Review billing drafts for accuracy (hours worked, services rendered) and confirm with caregivers as needed.
• Generate and verify invoices, ensuring accurate billing codes, payer details, and rates are used.
• Ensure correct billing rates for LTC and Private Pay services.

2. Payment Processing:

• Post Deposits, Client & Insurance Checks:
• Post client and insurance payments accurately into the Matri system.
• Review and identify any missed invoices and follow up on them.
• Audit accounts for overpayments and initiate refund processes where applicable.
• Process & Post ACH & Credit Card Payments:
• Ensure ACH and credit card payments are processed and matched with the correct client accounts.
• Generate Draft & Final Aide Pay Reports:
• Send draft payroll reports for approval before finalizing and distribute final payroll reports to the Admin and Scheduling teams.
• Finalize payroll and upload extract file to Paychex
• Process Additional Pay Runs for Aides:
• Review and process any late or missed pay runs, ensuring amounts and timing are correct.
• Notify the Finance team of additional pay runs if necessary.

3. Client Refunds and Adjustments:

• Process Client Refunds:
• Review and evaluate the need for client refunds (overpayments, billing errors, etc.).
• Ensure that refunds are processed according to company policy and documentation is maintained.
• Post Invoice Adjustments:
• Process necessary adjustments such as write-offs, charge transfers, and document these accordingly.
• Record Refund-Related Information:
• Submit a refund worksheet to the accountant and ensure the correct documentation is provided.

4. Weekly and Monthly Reports:

• Monthly Closing in Matrix:
• Ensure all monthly closing procedures are completed, including reconciling unbilled revenue and discrepancies.
• Review of Billing and Payments with Clients:
• Reach out to clients to resolve any billing or payment issues in a timely manner.
• Prepare and Submit Annual Audit Documentation:
• Collect and submit all necessary documentation for the annual audit, ensuring completeness and timeliness.
• Provide Annual Payment Reports:
• Prepare and submit accurate annual payment reports to clients as requested.

5. Miscellaneous Tasks and Support:

• AR Folders:
• Create and organize Accounts Receivable (AR) folders for monthly and daily deposits, ensuring all documentation is accurate and audit ready.
• 10-99 Folders
• OL Connect Drop for E-Delivery and Portal Invoices:
• Ensure client and caregiver invoices are uploaded to OL Connect for distribution to LTC companies and private pay clients.
• Review and address any issues with unmatched invoices, working with the supervisor for resolution.

· Additional Task

o Punctually complete any tasks assigned by supervisor and assist other registries , when directed by supervisor, including but not limited to, billing, collection, payroll and VOBs and start of care paperwork.

Job Type: Full-time

Pay: From $25.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person