Reference #: 21512661
Client Summary: Our Clienthas been the birthplace for countless breakthroughs and dramatic firsts in pediatric medicine. Built on a foundation of delivering safe, high-quality, family-centered care, the Hospital has fostered medical discoveries and innovations that have improved pediatric healthcare and saved countless children's lives.
Job Description: Home Care PFS Billing Rep
The primary focus of the billing representative is to accurately process charges according to payor specific contracts in accordance with the company policy and all regulatory and accrediting agency guidelines.
Duties include but are not limited to:
Work with interdisciplinary team to ensure that all documentation required to generate claims has been obtained prior to submission.
Accurately post, edit and generate all claims for Home Care services.
Review hold reports to ensure that services are billed for timely, accurately and hold edits are completed.
Ensure all documentation necessary for accurate billing is obtained.
Verifies that all the proper coding and charge information is entered in the system according to payor specific contracts following regulatory guidelines.
Assist in obtaining/maintaining department's cash goals.
Perform all reimbursement functions in accordance with the company policy and regulatory and accrediting agency guidelines.
Perform other duties as assigned by management.
Education Requirement: High School Diploma / GED Required
Work Experience
Previous health care billing experience Preferred
Level 2A Covid Vaccination Required
Knowledge, Skills, Abilities:
Strong verbal, communications and organizational skills
Basic application and computer skills
Strong data entry skills
Strong interpersonal and customer service skills.
Schedule Notes: 40 hour work week
Equiliem Healthcare specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to long term local and travel assignments. Equiliem has been recognized as a certified small business enterprise. In addition, we are proud that we have earned the prestigious Joint Commission accreditation for staffing firms and have been awarded Best in Staffing 4 years running by our employees and client partners.
Benefits offered to our workers include the following:
Medical Insurance
Vision & Dental insurance
Life Insurance
401K
Commuter Benefits
Employee Discounts & Rewards
Payroll Payment Options
Equiliem ( ) believes in empowering success. It's our job to cultivate relationships that connect people and employers in a way that is inclusive, intelligent, and allows both to thrive.
Across the U.S., leading companies in healthcare, government, light industrial manufacturing, professional services, and energy rely on us for their workforce solutions. Our recruiting and HR services include contract and direct hire staffing, Payrolling/EOR, and Independent Contractor Compliance.
For over 50 years, we've helped shape our industry. Today, we continue to research, ask questions, and constantly enhance the candidate journey and client experience.
We are committed to providing equal employment opportunities to all employees and applicants without regard to race, religion, color sex, national origin, citizenship status, age, sexual orientation, gender identity, marital status, uniform service member status, genetic information, disability, or any other protected status, in accordance with all applicable federal, state, and local laws. This practice extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms and conditions of employment.
