medicare biller for home health and hospice ( Work From Home)TSG Outsourcing

How to Apply:
Copy and Paste the Link below in the browser to generate the application form:
https://forms.gle/UwbRCBTnF6WVuuRP8
 
Rate: $5/hr and earn up to PHP 50,000 +/month
Schedule: Monday - Friday: 8:00 am - 5:00 pm PST, with 1 hour unpaid Lunch break
 
MEDICARE BILLER FOR HOME HEALTH AND HOSPICE (WORK FROM HOME)
This position is focused on Medicare billing, not on commercial insurance billing.
 
Qualifications:
Use and navigation of the DDE via FISS (in our case, the direct data entry through Fiscal Intermediary Standard System of NGS)
Ability to perform modifications to CWF (Common Working File)  
Beneficiary Eligibility check via HETS-supported software
Claims correction/adjustment following submission of UB-04
File NOA
Billing experience with Kinnser
Experience with EDI use (Waystar) preferred
Managed Care Claims knowledge when filing claims related to MSP (Medicare as Secondary Payer
Responsibilities:
1. Insurance Verification & Authorization
Verifying Eligibility: When necessary, assist Intake Team with ensuring Insurance is active and free of discrepancies prior to NOA submission.
2. Claim Preparation & Submission via Kinnser
Claim Submission: Transmitting clean claims electronically to Medicare and secondary insurance payers (when applicable) using processes to confirm identifiers for electronic submission (reconciliation and confirmation of Active F2F, Orders, and Visits are in Kinnser)
3. Payment Processing & Reconciliation
Posting Payments: Logging received reimbursements and matching them against the Explanation of Benefits (EOB) or Electronic Remittance Advice (ERA).
Reconciliation: Auditing ledgers to ensure the practice was paid the correct amount according to the Medicare fee schedule.
Accesing DDE: Use of DDE to manually log or adjust time-sensitive information (NOA, Adjustments) for claims. 
4. Denial Management & Accounts Receivable (A/R)
Working the A/R Aging Report: Reviewing outstanding accounts on a weekly or daily basis to identify unpaid or delayed claims and reporting claim status.
Researching Denials: Investigating the root cause of rejected claims (e.g., coding errors, missing information, RTPs (Return to Provider), and Denials and providing guidance or feedback on how to improve efficiency or rectify claim denial.
Submitting Appeals: Drafting documentation and appeal letters to Medicare to recover lost or underpaid revenue.
5. Patient Charts Related to Billing 
Generating Statements: Sending invoices to patients for deductibles, coinsurance, or non-covered services (if applicable).
Answering and Providing Inquiries: Communicating with Teams (Quality Assurance, Billing Team, Intake Teams) via current mediums (CareStitch, RingCentral) on retrieval of elements necessary to bill claim periods.