Billing Specialist

Overview

Become a Medical Billing Specialist with Agape Care Group

We are looking for a highly skilled medical billing specialist to join our team with a strong work ethic who it very detail oriented, able to multi-task, communicate effectively and be a dependable team player.  As a medical billing specialist at Agape Care, you’ll process eligibility workflow, submit requests for authorizations, submit claims for processing, monitor claim rejections, post insurance payments, and follow-up on aging outstanding accounts. The ideal candidate would have previous billing experience using both UB04 and 1500 forms along with previous insurance verification experience.

And just like all of our team members, our medical billing specialists have access to Agape Care’s supportive leadership team and professional development opportunities with plenty of room for advancement.

We’re Offering Even More Great Benefits When You Join Our Family!

• Tuition Reimbursement
• Immediate Access to Paid Time Off
• Employee Referral Program Bonus Eligibility
• Matching 401K
• Annual Merit Increases
• Years of Service Award Bonuses
• Pet Insurance
• Financial and Legal Assistance Program
• Mental Health and Counseling Programs
• Dental and Orthodontic Coverage
• Vision Insurance
• Health Care with Low Premiums
• $500 Matching Health Savings Account
• Short-term and Long-term Disability
• Virgin Pulse Wellness Program
• Fertility Assistance Program

About Agape Care GroupA leading hospice, palliative, and pediatric comfort care provider in the Southeast, Agape Care Group is dedicated to serving patients and families with love and delivering the highest quality care. Our network includes Agape Care South Carolina, Georgia Hospice Care, Hospice of the Carolina Foothills in North Carolina, and Journey Hospice in Alabama and Louisiana. At any location within our company, you’ll find a career that means something. You’ll not only have the opportunity to use your skills to make a real difference, but you’ll also be part of an inclusive, respectful work environment filled with peers who have answered the call to care for others.

Our Company MissionAgape Care’s mission is to serve with love, providing comfort and support through compassionate care and meaningful experiences. For our team members, these aren’t empty words. In every interaction, no matter how big or small, we’re dedicated to providing a superior experience for patients facing life-limiting illnesses and their families.

Essential Functions

The Billing Specialist provides services in accordance with billing requirements of related payer sources, agency policy, and accounting firm requirements. The Billing Specialist provides billing services and communicates observations and assessments to appropriate individuals. The Billing Specialist will follow uniform billing procedures and practices according to Medicare, Medicaid, 3rd party payers, and private pay in accordance with the HIM-11 guidelines.

• Facilitates invoice processing and submittal of bills either electronic or via paper.
• Prepares accurate claims for submittal to payer source.
• Submits claims either manually or electronically per payer source protocol, according to agency claim submittal calendar.
• Responds to payer inquiries regarding invoices.
• Completes required duties in a timely manner.
• Prepares correspondence to staff or payer sources accurately as directed in a timely manner.
• Works claim until payment or write-off occurs.
• Responsible for weekly reports on claim status.
• Gatekeeper for FSS or other types of inquiring information systems responses and information as applicable to area of responsibility.
• Assists supervisor with accounts review after claim submittal.
• Performs special projects as directed by the Director of Finance.
• Generates electronic payer reports as needed for assigned payers.
• Maintains financial and billing reports.
• Maintains confidentiality in all aspects of related responsibilities.
• Systematically reports to Supervisor EDI or invoice receipts.
• Serves as a member of the finance team dedicated to success of departmental responsibilities.
• Verifies client data into software system for billing purposes.
• Verifies that there are no outstanding errors per software requirement.
• Responds to client inquiries regarding invoices.
• Rebills and monitors rejections.
• Reviews and rebills past due accounts.
• Analyzes and recommends actions for delinquent accounts.
• Performs collection activities as directed and according to policy.
• Maintains organized, effective and efficient systems and communication to ensure correct billing and collection occur.
• Works with other personnel to assure problem solving with billing issues occur.
• Acts as liaison between company and payer sources for collection.
• Employs accuracy of data to ensure correct billing occurs.
• Maintains tracking on RTP, FSS, denial from private insurance and other claims queries or Medicare correspondence as required if applicable.
• Responsible for correspondence to fiscal intermediary as requested.
• Performs job in compliance with agency policies and procedures as well as professional standards.
• Provides an environment which promotes respect for patient, privacy, and property.
• Demonstrates knowledge of the patient’s Bill of Rights and upholds patient’s rights.
• Follows all infection control guidelines and standards per Agency policy.
• Demonstrates commitment, professional growth and competency.
• Attends meetings and assigned in-service programs.
• Attends training, education, seminars, or other means of learning as permitted by supervisor.
• Written and verbal communication is expressed clearly and in a cooperative manner.
• Participates on committees and task forces as requested.
• Promotes the Agency philosophy, mission statement and administrative policies to ensure quality of care.
• Maintains patient & staff privacy and confidentiality at all times pursuant to the HIPAA Privacy Final Rule.
• Provides positive, supportive communication to visitors, and other agency personnel.
• Promotes Agency image by adhering to the dress code.
• Reports to work as scheduled.
• Meets minimum productivity requirements based on agency standard.
• Abides by company policy and procedures as outlined by company policy manual.
• Performs other duties as assigned by the Supervisor.

Qualifications

Minimum Qualifications/Requirements:

EDUCATION: Associate Degree preferred.

LICENSURE: Not Applicable

EXPERIENCE: 5 year’s billing experience in an appropriate clinical care setting or home health environment preferred. Previous billing experience using both UB04 and 1500 forms along with previous insurance verification experience required. Accounting practices or experience preferred

SKILLS: Strong work ethic, detail oriented, able to multi-task, dependable, team player and able to communicate effective with others. Knowledge of medical terminology. Must be able to speak, read and write English. Good communication, interpersonal, telephone and documentation skills. Excellent word processing skills. Must be discreet and maintain HIPAA and confidentiality in the workplace.

TRANSPORTATION: Reliable Transportation - IN OFFICE ROLE - 187 North Church St. Suite 201  Spartanburg, SC 29306

HEALTH STATUS: Meets all applicable agency policies and procedures related to health screening and required testing.