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Billing Analyst I

Role overview

Qualifications

  • High school education or equivalent
  • Minimum of one to three years billing experience (preferred in home health care)
  • Proficiency in Microsoft Office Suite
  • Knowledge of Esolutions, Waystar, and commercial web portals

Responsibilities

  • Perform claim audit review for Medicare and PPS Medicare Commercial
  • Maintain responsibility for Oasis reports
  • Bill Medicare/Non-Medicare claims on a daily basis
  • Review unbilled reports for Medicare and Non-Medicare on a weekly basis

Key facts

Hard skills

Other skills

  • Microsoft Office
  • Communication
  • Detail Oriented
  • Patience
  • Cooperation

About the company

Kaplan International Languages logo

Kaplan International Languages

Language Learning & Schools

A division of Kaplan Inc, an educational subsidiary of Graham Holdings Company, Kaplan International Languages is a leading provider of international education. We offer English, French, and German language courses in 9 countries across the world, catering for all ages and learners, with our Junior Summer Camps from Alpadia Language Schools (part of the Kaplan family), our dedicated 30+ English courses, exam prep courses & more. We offer language and university pathway programs, which include tuition, accommodation and social activities. Students travel to study with Kaplan International Languages from over 150 countries around the world through our network of partners and sales offices, as well as directly through our website.

Company details

Company typeSME
IndustryLanguage Learning & Schools
Company size1001 - 5000

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Job description

Job Title 

Billing Analyst I

Location

Remote/Nationwide, USA

Additional Location(s)

Employee Type

Employee

Working Hours Per Week

40

Job Description

Homecare Homebase experience is required for this position.


Waystar experience is required for this position.


Compensation: $21.00 - $23.00

The base compensation range for this role is fixed, with a maximum cap of $23.00. We want to be transparent about this as we continue discussions.

Monday-Friday, 8 AM - 5PM, EST or CST, fully remote

Medical Benefits: Health, Vision, & Dental

Retirement: 401K & Pension w/ 4% employee contribution

PTO: 15 Days


Graham Healthcare Group is hiring a Home Health Billing Analyst I to support our company's brands and service lines.  This position will support the Hospice Billing Team Lead and Hospice Billing Supervisor to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients.  This position can sit remotely.


Home Health Billing Analyst I Responsibilities:


 • Perform claim audit review for Medicare and PPS Medicare Commercial
• Maintain responsibility for Oasis reports
• Review unbilled reports for Medicare and Non-Medicare on a weekly basis
• Bill Medicare/Non-Medicare claims on a daily basis
• Review pre-post report to verify all visits have a usual and customary rate and contractual adjustment on a bi-weekly basis
• Work Medicare/Non-Medicare claim rejections
• Perform billing note entry on all outstanding accounts over 30 days
• Make insurance calls to check status on outstanding claims
• Process requests for additional information from Insurance Companies
• Answer billing queue calls
• Collect patient payments via the phone
• Work monthly Medicare, Medicare, HMO, and 3rd-party agency
• Review Monthly SOX report to ensure every account over 30 days has a Billing note
 

Home Health Qualification Requirements:


• High school education or equivalent
• Minimum of one to three years billing experience (preferred in home health care)
• Proficiency in Microsoft Office Suite
• Knowledge of Esolutions, Waystar, and commercial web portals
• Understanding of Medicare FSSO DDE software
• Strong computer knowledge
• Demonstrated patience, flexibility, and cooperative attitude
• Strong communication skills with other office staff
• Conscientiousness and attention to detail


About Graham Healthcare Group:


As an innovator in an evolving healthcare world, Graham Healthcare Group has been designing business and technology solutions to drive better care, outcomes, and productivity within its own home health and hospice companies for over 20 years. In the last several years, our solutions have been successfully integrated across the healthcare continuum.


Join the Graham Healthcare Group and enjoy the following benefits:

  • Competitive Pay: With opportunity for advancement 
  • Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from. 
  • Supplemental Benefits: Company-paid life insurance and disability benefits.  Also, pre-tax FSA and HSA plans are offered. 
  • Generous PTO Packages: 15 days PTO that grows with your tenure, 6 paid holidays, 1 personal day. 
  • Retirement: Save for your future with our company offered 401k and Company Contribution Plan.
  • Company-Paid Education Programs:  Grow your career by taking advantage of discounts on tuition for selected courses offered by Purdue and Kaplan. 

 Benefits may vary based on your employment status. 

NOTICE:

  • Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
  • By supplying your phone number, you agree to receive communication via phone or text.
  • By submitting your application, you are confirming that you are legally authorized to work in the United States.

Graham Healthcare Group is an Equal Opportunity Employer

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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