Coding Specialist Jobs in Delaware

Why Beebe?:

Become part of the Beebe team - an inclusive team positioned in a vibrant, coastal community. Enjoy a fulfilling career as you support the health of our patients and a team focused on excellence.

In addition to competitive compensation and wellness benefits (medical, dental, vision, and prescription) Beebe Healthcare also offers:
* Sign-on and Referral Bonuses for select positions
* Tuition Assistance up to $5,000
* Paid Time Off
* Long Term Sick accrual
* Employer Contribution Plan
* Free Short and Long-Term Disability for Full Time employees
* Zero copay for drugs on prescription plan for certain conditions
* College Bound 529 Savings Plan
* Life Insurance
* Beebe Pers via WorkAdvantage
* Employee Assistance Program
* Pet Insurance

Overview: Responsible for all aspects of billing and reimbursement with emphasis on Medicare PPS and compliance, and cash posting, accounting. Responds to billing inquiries and denials.

Responsibilities:

* Manage home health billing and reimbursement activities, ensuring compliance with Medicare PPS and third-party payer requirements.
* Verify insurance coverage and maintain accurate patient billing information within the Home Health EMR.
* Submit, monitor, and follow up on claims to ensure timely and accurate reimbursement.
* Investigate and resolve claim denials, payment discrepancies, and billing inquiries.
* Post payments, adjustments, and accounts receivable transactions accurately.
* Maintain complete documentation and update records within the Home Health EMR system.
* Communicate billing issues, reimbursement delays, and payer changes to the Reimbursement Analyst.
* Generate billing and accounts receivable reports and assist with revenue cycle improvement efforts.
* Collaborate with Home Health team members and other departments to support efficient reimbursement processes.
* Maintain current knowledge of reimbursement regulations, coding requirements, and payer guidelines.
* Perform other duties as assigned.

Qualifications

* Minimum of three (3) years of experience with third-party reimbursement in a healthcare patient accounting, billing, or revenue cycle environment.
* Minimum of three (3) years of experience in healthcare billing, reimbursement, accounts receivable, or denial management.
* Home Health billing and reimbursement experience required.
* Experience working with Medicare PPS reimbursement methodologies and compliance requirements.
* Strong knowledge of third-party payer reimbursement processes, including Medicare, Medicaid, and commercial insurance plans.
* Thorough understanding of UB-92/UB-04 billing requirements and claim submission processes.
* Knowledge of ICD-9, ICD-10, CPT, and HCPCS coding principles.
* Experience with denial management, appeals, and reimbursement recovery.
* Proficiency in Microsoft Office applications, including Excel, Word, and PowerPoint.
* Demonstrated experience working in information technology environments and healthcare database management systems.
* Strong financial analysis and accounts receivable management skills.
* Ability to develop, analyze, and prepare reports related to reimbursement and revenue cycle performance.
* Exceptional attention to detail and accuracy.
* Excellent verbal, written, and interpersonal communication skills.
* Ability to manage multiple priorities, meet deadlines, and work independently.
* Strong problem-solving and critical-thinking abilities.

Credentials:

* Certified Billing and Coding Specialist (CBCS) preferred.
* Additional revenue cycle, coding, or reimbursement certifications are a plus.

Education:

* High School Diploma or GED required;
* Associate's degree in Healthcare Administration, Business, Finance, Accounting, or related field preferred.

Entry: USD $17.50/Hr.
Max: USD $27.13/Hr.