Southwoods Health
OH
Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. The successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries.
Essential Duties
Resolve edits daily through the EMR or clearinghouse to produce clean claims.
Verify the accuracy of all insurance information.
Send original claims along with any necessary supporting documentation.
Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims.
Submit secondary claims, ensuring that primary payment information is captured.
Understand and abide by billing compliance regulations.
Follow up with a Coding Specialist and/or Collection Specialist when necessary to correct claims accurately.
Answer billing questions in a clear and polite manner.
Understand patient confidentiality...