<p>Position Description:</p><p>This Billing Specialist is an experienced support role with expertise in Home Health Care billing processes, including PDGM, episodic, and institutional claims. The Billing Specialist will have work tasks and responsibilities with accounts receivable (AR) and revenue cycle management, combined with advanced knowledge of electronic billing and claims management systems. This role requires exceptional attention to detail, analytical problem-solving skills, and the ability to ensure accurate and timely claims submission and payment processing.</p><p><br></p><p>Performance Responsibilities and Standards:</p><p>1. Review and analyze claims for accuracy and completeness, obtain and/or correct any missing or inaccurate information related to Home Health Care (PDGM, Episodic, Institutional Claims)</p><p><br></p><p>2. Compile and submit claims/invoices to appropriate payors/clients within the timeframe designated within the department billing schedule.</p><p><br></p><p>3. Must have prior experience in AR/Revenue cycle to ensure timely follow up on claims/invoices.</p><p><br></p><p>4. Research and work/appeal unpaid claims when appropriate to ensure optimum collections.</p><p><br></p><p>5. Post payments timely with 100% accuracy.</p><p><br></p><p>6. Knowledge of electronic billing, billing exceptions and EDI software (Waystar) to ensure claims are submitted and followed up timely.</p><p><br></p><p>7. Communicate billing, payment and collections issues to Billing Manager on a current basis.</p><p><br></p><p>8. Utilize agency IT systems to carry out job requirements.</p><p><br></p><p>9. Attend meetings and workshops as required.</p><p><br></p><p>10. Required to bill and collect within the payor filing requirements.</p><p><br></p><p>11. All other duties as assigned</p>