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HealthPRO - Heritage Insurance Verification Specialist - Billing in Greenville, South Carolina

General Description:

  • Provide accurate and timely insurance verifications for all HRF facilities.

  • To manage the daily operation for all HRF insurance verifications

Supervision:

  • Reports to Billing Coordinator

  • Must work independently

INDSTCT

These statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered a detailed description of work requirements that may be involved.

  • Responsible for all HRF insurance verifications.

  • Responsible for the tracking of insurance verifications.

  • Responsible for review of billing info sheets for completeness and accuracy to include correct insurance and insurance verification forms.

  • Responsible for the tracking of the billing info sheets, including follow up calls to ensure that the responsible party signatures are completed and on file.

  • Responsible for subsequent or delinquent follow up billings and phone calls related to co-insurance and private pay claims.

  • Responsible for the creation and maintenance of HRF resident files kept on site at HHI main office.

  • Responsible for reviewing HRF resident files to be sure that necessary information is accounted for especially pertaining to insurance info.

  • Identify denied claims due to insurance coverage and obtain the necessary paperwork related to these claims.

  • Compile the necessary information related to the denied claims and track the progress of these claims.

  • Responsible for the accurate and timely preparation and submission of reports required by management.

  • Responsible for preparation of monthly billing documentation for Medicare, Medicaid, and insurance companies to ensure proper payment of funds.

  • Responsible for accumulating & entering any necessary billing documentation into Carelink

  • Responsible for the follow up with the therapists, rehab managers or area managers concerning billing issues, to ensure the timely preparation of HRF insurance verifications.

  • Responsible for communication with customers concerning billing, collection and reconciliation of invoices.

  • Requires formal knowledge of Medicare, Medicaid and Third Party billing. Knowledge of data processing capabilities

  • Basic understanding of requirements and regulations set forth by Medicare, and other related agencies.

  • Communications often deal with sensitive, confidential issues aimed at collecting and reconciling various resident accounts.

  • Must be able to clearly communicate their expertise concerning any number of billing issues, requiring advanced oral and written skills.

  • Knowledge of Microsoft Word and Excel.

ctorres@healthpro-heritage.com

Requisition ID: 2020-36960

External Company Name: Healthpro Heritage, LLC

External Company URL: www.healthpro-heritage.com

Full Name: First Last: Cynthia Torres

Number: 256-859-8090

Recruiting Priority Level: A

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