Volare Health LLC is looking for a dedicated Managed Care/Insurance Biller. Join our team where we operate long-term care skilled nursing and short-term rehabilitation centers across multiple states. At Volare Health LLC, we extend a warm welcome to our residents, their families, and our dedicated staff. Responsibilities:
- Authorization - Review and follow up with the facilities to ensure facility has received authorization to provide services to payers.
- Rate Changes - Ensure all rates are correct within the billing software. Entry of new rates as they are published within the various contracts.
- Billing Claims - Bill according to the outlined billing schedule as set by the Corporate Office. Billers will prepare, review, and transmit claims using billing software through electronic and paper claim processing.
- Claim Follow-up - Provide claim follow up based on claim review protocol. Contact providers through phone and online review of outstanding claims.
- Claim Research & Adjustments - Outstanding claims will be researched and reviewed until the AR payer has been relieved. Process refunds and adjustments according to guidelines.
- Claim Payment - Collect the payment EOB and process payment as indicated for patients' dates of service. Payments which are not equal to outstanding AR will be researched and reprocess for refunds, additional payment request, or adjustment needs.
- Communication - Employee will need to have effective communication with payers to resolve outstanding issues. Employee will also need to work effectively with facility personal to resolve issues for billing.
- Aging Review - Completes monthly aging for facilities and attends aging review meeting when necessary.
Qualifications:
- Billing experience in a long-term care, nursing home, or hospital setting
- Excellent verbal and written communication skills.
- Ability to pass a criminal background check and reference inquiry.
Benefits and Perks:
- Opportunities for career advancement within a dynamic healthcare environment.
- Comprehensive health, dental, and vision insurance coverage for you and your family.
- Company-paid life insurance policy.
- Flexible Spending Account (FSA) and Health Savings Account (HSA) options.
- Generous paid time off (PTO) policy, including vacation, sick leave, and holidays.
- Tuition reimbursement program to support continued education.
Why Join Us? At Volare Health, we value our employees and foster a collaborative environment that encourages growth and professional development. If you are ready to take the next step in your career and contribute to our dynamic team, we would love to hear from you!