BAYADA Home Health Care is seeking a Healthcare Reimbursement Associate with 1 year of home healthcare collections experience. 

Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people’s lives while you grow your career and learn the business? Then the Reimbursement Associate position might be right for you!

Responsibilities:

• Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment.
• Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying.
• Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities.
• Apply electronic and/or manual payment entries into EMR program. Completing reconciliation tasks to ensure proper applications.
• Complete administrative appeals and escalation of claim issues with payor organizations.
• Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A/R, bad debt risk and requests needed to secure payment from a client or payor organization.
• Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment.
• Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services.
• Review, document and communicate any claim processing or related changes initiated by payor organizations.
• Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow.
• Ability to met/exceed established performance goals

Qualifications:

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
• Degree preferred (combination of education and experience may be used in lieu of degree)
• Minimum of one (1) year experience with  billing/collections.
• Intermediate experience with Microsoft Excel
• Demonstrated record of strong interpersonal skills.
• Demonstrated record of goal achievement.
• Prior health care and home care experience is a plus.
• Competence in basic PC skills required to perform job functions.

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