This position is hybrid out of Pennsauken, NJ. Training will be in person full time.
POSITION SUMMARY:
To work collaboratively and cross functionally with teams, both internally and externally to achieve BAYADA Home support, billing, collections, trending, and reporting functions.
MINIMUM QUALIFICATIONS:
- Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
- Four (4) year college degree.
- 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.
PRIMARY RESPONSIBILITIES:
- Spend majority of time performing the collection activity processes of denial management, credit accounts
- Receivable management, and aged accounts receivable management.
- Consistently meet performance metrics.
- Manage caseload as needed in the department.
- Apply experience and skills to complete assigned work within own area of expertise.
- Work within standard operating procedures and/or methods.
- Work with a moderate degree of supervision.
- Open new accounts and follow-up within Collection Office policy and procedure guidelines.
- Review EOB’s for appropriate payments within 30 days of receipt. Review denials and underpayments and compare to the referral file for proper authorization and payment rates.
- Contact bill.to party to resolve underpayments and denials.
- Coordinate with service offices and promptly advises of significant payment issues and insurance benefit changes, especially policy terminations. Inform service office of rate and discount discrepancies.
- Inform supervisor of difficult collection issues and patterns of non-payment. Advise of required billing changes.
- Advise supervisor of computer-generated inaccuracies or required program changes.
- Review accounts monthly with emphasis on potential quarterly bad debt reserve amounts and large accounts.
- Review Billing and Payment Histories for accurate payment and discount posting. Perform transfers as necessary.
- Update client file with new and corrected information. Documents all collection activity in the Bears client file clearly and concisely.
- Organize work according to highest priority.
- Prepare refunds, as necessary.
- Assist team members in collection actions on an as needed basis.
As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here.
BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
