Billing Professional - Medicare

Job description

Are you looking to make a difference in patients’ lives with a company that values your expertise? Join us in our mission of delivering compassionate healthcare where it matters most –– at home. Pinnacle Home Care, Florida’s largest independent Medicare-certified home health provider, has been delivering high-quality, patient-centered care for over two decades, and we’re looking for a Reimbursement Analyst to join our award-winning team. Key Responsibilities: - Daily collection activities for designated accounts, leading to the timely reimbursement of receivables using available resources including external/internal databases, payer portals/websites, and telephone. - Daily review of EOPs/EOB/Ras/EOMBs for accuracy and patient responsibility. - Take appropriate action to resolve denied/rejected invoices and preparation of payer corrections and/or appeals in accordance with payer plan requirements using electronic and paper processes. - Ensures that all reconciled items and past due balances are resolved to completion through contact and follow-up with Payers/Patients. - Calculate expected reimbursement percentages based on contracted rates and properly notate accounts. - Utilize app...