Office Support - Billing Specialist

Why choose Eden? As a 100% Employee Owned company, we recognize that our people are our most valuable asset. We honor their importance by our recognition that all employees be treated with respect and integrity at all times. We’re interested in you and want you to succeed. Our business is growing rapidly and we want you to grow with us. We have infinite room for advancement, both personally and professionally. We work hard to match you with a position that best fits YOUR skills and YOUR availability. In addition, Eden Health is a Certified Great Place to Work company, 7 years in a row!

The Eden Difference: We bring Connected Care Home through our Core Values of Empathy, Dedication and Integrity to our clients, patients and Employees. Besides a strong family oriented culture unique to Eden, we offer:

• Benefits starting as early as 30 days after start date
• Employee Discounts on travel, resorts, car rentals, Columbia and so much more!
• Employee Hardship Fund
• Bonuses Program
• Employee Stock Program (ESOP)
• Employee Wellness. Family first culture
• Paid Time Off for a Personal Day of your choosing
• Financial Planning through Unum
• Free Counseling Sessions through Unum

Career Benefits:

• Training and educational Assistance
• Career Advancement Opportunities

Financial Benefits:

• 401k Retirement Savings Plan
• Employee Stock Ownership Plan
• Flexible Spending Accounts
• Life, Accident, & Disability Insurance
• Paid Holidays
• Continuing Education Credits are paid for – we offer online and in-person education
• Discounts with AT&T Wireless, National and Enterprise car rentals
• Discounted tickets to a variety of events (Disney Land, Disney World, Universal Studios, SeaWorld, Local Concert/Sporting Events, Hotels/Resorts, etc.)

Personal Benefits:

• Paid sick leave and vacation time – eligible employees start accruing time on their first day of employment
• Identity Theft Protection
• Employee Assistance Program
• Employee Hardship Fund
• Floating Personal Holiday – use it on your birthday or any other day of the year!
• Dental, Medical, Vision available for full-time status

Description:

Office Support Responsibilities

1. Sort, distribute, and process incoming mail and correspondence daily.
2. Prepare and mail outgoing documents including statements, refund checks, appeals, medical records, and payer correspondence.
3. Receive, log, and prepare checks and payments for deposit in accordance with agency procedures.
4. Process approved patient, payer, and vendor refunds accurately and timely.
5. Route correspondence, denial notices, and payer communications to appropriate departments.
6. Maintain confidentiality of patient and financial information in accordance with HIPAA and company policies.

Billing Responsibilities

1. Prepare and submit clean claims to various insurance companies for assigned locations and payers.
2. Review outstanding accounts receivable balances and perform follow-up activities.
3. Analyze remittance advice and post payments, adjustments, and denials accurately.
4. Document collection efforts and account activity in the EHR system.
5. Answer billing questions from patients, staff, and insurers while resolving billing concerns and complaints.
6. Monitor client statements and assist with collection activities as directed.
7. Communicate billing issues, trends, denials, and payer concerns with leadership and team members.
8. Maintain knowledge of payer requirements, reimbursement methodologies, and billing regulations.
9. Attend and contribute to department and agency meetings.
10. Demonstrate initiative and assist coworkers as workload requires.
11. Perform other duties as assigned.

KNOWLEDGE, SKILLS, AND ABILITIES

1. Knowledge of medical billing processes, insurance claims, payment posting, and collections.
2. Knowledge of office administrative functions including mail processing, check handling, document management, and record retention.
3. Ability to maintain accurate records and handle confidential information.
4. Strong organizational and multitasking skills.
5. Ability to prioritize competing deadlines in a fast-paced environment.
6. Strong written, verbal, and customer service communication skills.
7. Proficiency with Microsoft Office applications, scanners, printers, and other office equipment.
8. Ability to work independently with minimal supervision.
9. Professional appearance and demeanor.
10. Excellent telephone and interpersonal skills.

EDUCATION AND EXPERIENCE

1. High School Diploma or GED required.
2. Two years of administrative office support, billing, healthcare revenue cycle, or related experience preferred.
3. Home Health and/or Hospice billing experience preferred.
4. Knowledge of Medicare, Medicaid, Commercial Insurance, VA, and Private Pay billing preferred.
5. Experience with Electronic Health Record (EHR) systems preferred.
6. Basic understanding of medical claims processing and reimbursement practices preferred.