Home Care PFS Billing Rep

Client Summary: Our Client has 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