Billing Manager For Home Health

Department: Administration
Position: Billing Manager
Employment Status: Full-Time
Reports To: Administrator
Location: Brockton, Massachusetts

Brockton Home Health Care Agency is seeking an experienced and detail-oriented Billing Manager to manage the agency’s day-to-daybilling and claims activities.

The Billing Manager is responsible for preparing, reviewing,and submitting accurate claims to Medicare, Mass Health/Medicaid, managed careorganizations, and other contracted payers. This position will also researchrejected and denied claims, correct billing errors, submit corrected claims and appeals when appropriate, monitor outstanding accounts receivable, and followclaims through final resolution.

The primary goal of this position is to ensure that allproperly authorized and documented services are billed accurately and on time,and that every unpaid, rejected, or denied claim receives appropriate follow-up.

• Prepare and submit claims accurately and within required payer deadlines.
• Reviewclaims before submission for completeness and accuracy.
• Verify patient/member demographics, insurance information, dates of service,authorization, units, service codes, modifiers, and other required billing information.
• Submitelectronic and manual claims as required by individual payers.
• Ensureclaims are accepted by the payer or clearinghouse after submission.
• Correctrejected claims promptly and resubmit them.
• Preventduplicate or inappropriate billing.
• Maintain documentation of claim submission and correction activity.

The Billing Manager will take ownership of denied and rejected claims from identification through resolution.

Responsibilities include: