Denial & Prepayment Support Coordinator (Remote - Cincinnati area)

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Posted 14 days ago United States Salary undisclosed
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Job Description

Overview:

CHI Health at Home is a full-service health care organization that believes the best place for someone to get better, and faster, is in their own home. Providing quality home health care for over 40 years through specialized home care, home infusion, and hospice care, across the country, CHI Health at Home offers unique services dedicated to meeting the total needs of our patients.

Responsibilities:
Your work should be more than just a job. If you are looking for career development, flexibility in your schedule and work-life balance, your journey begins here!

We are currently looking for a full time Revenue Cycle Billing and Collections Coordinator to join our growing team.

Prepares and processes insurance claims for assigned locations and payers.

Verifies data by conferring with appropriate agency and/ or external personnel on a daily basis.

Creates and processes electronic claims submissions for assigned locations and payers on a daily basis.

Researches any error claims and makes necessary corrections for clean claim production and submission on an as needed basis.

Reviews accounts receivable on a daily basis and performs follow-up on delinquent accounts, according to established policies and procedures, including but not limited to: addressing outstanding receivables, short payments, overpayments, and reviewing for accuracy and payer requirements (i.e. rates, authorizations, correct pay source, and billing codes).

Recommends departmental/ agency corrective action as required.

Qualifications:
High school diploma or equivalent.

Two years' experience in medical and/or billing collections, ancillary services accounts receivable preferred.

Thorough knowledge of medical terminology, managed care requirements, medical billing codes, universal billing formats, accounting principles, accounts receivable, prior authorizations, contract stipulations, commercial and government insurance payers and collection regulations.