Job Details

Home Care Biller

Part Time Days * 24-32 hours per week

On Site in Warwick RI

$25-27/hr + Generous Benefits Package

The Home Care Biller is responsible for preparation and collecting of Medicare
and HMO receivables. Responsible for researching and responding to Medicare and HMO payment discrepancies.

Responsibilities for a Home Care Biller:

• Obtain bills and related documentation for all HMO claims paid different from billed amount. Call HMO on discrepancies.
• Maintain the spreadsheet to track HMO balances due.
• Document conversations with HMO on spreadsheet.
• Obtain and track all required authorizations for services, communicate with the clinical team for information.
• Serves as a resource to administration, clinical, and scheduling staff regarding third-party reimbursable services.
• Respond to third party customer inquiries. Reconcile customer accounts. Facilitate collections.
• Process Medicare billing, transmit RAP's and final bills, post adjustments to A/R.
• Attend meetings related to receivable issues.
• Responsible for understanding and implementing changes.
• Exhibit excellent verbal and written communication skills.
• Demonstrate a high degree of commitment to customer service and provision of quality care.
• Act as a backup to payroll during absences.
• Verify all insurance and coinsurance with Medicare for Medicare and HMO cases prior to admission.

Qualifications for a Home Care Biller:

• High School Diploma.
• 3 or more years of experience working in a business office in the healthcare field.
• Experience with Medicare billing.
• Proficiency with billing software and accounts receivable principles and protocols.
• Proficient using MS Outlook, Excel and MatrixCare.

What does Saint Elizabeth Community offer employees?

Our holistic benefit options encompass your Health and Wellbeing, your individual and family needs, your professional growth and more by including:

• Competitive pay
• Flexible Scheduling Options
• High quality and low-cost Health, Dental and Vision coverage: Blue Cross Blue Shield Health Insurance, Delta Dental Insurance, and VSP Vision Insurance offered for employees working 20+ hours/week
• 403B Employer Contribution Plan
• Tuition Assistance and Student Loan Reimbursement
• Career advancement & training opportunities to support individual employee goals
• Childcare Reimbursement Program
• Employee Referral Bonus
• EAP, Life Insurance, and more!

Why choose Saint Elizabeth Community?

We are a non-profit, independent, locally owned and operated community, providing quality care since 1882 to older adults and people with physical disabilities.

With our mission of caring, we are committed to supporting our community with compassionate and innovative care! Saint Elizabeth Community includes 11 beautifully maintained Rhode Island locations offering apartments for Independent Seniors, Home Care Services, Adult Day Centers, Assisted Living, Skilled Nursing, Rehabilitation, and more!

- Trusted Care Since 1882! -

EEOC - We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.