Accra
Accra
Accra Миннесота штатында үйде тұратын адамдарға жекелендірілген үйде күтім көрсету қызметтерін ұсынады. Ұйым жеке күтім көрсету көмегі, қаржылық басқару, психикалық денсаулық қызметтері, assisted living нұсқалары, үйдегі медициналық көмек, 245D бойынша жеңілдік бағдарламалары, өздігінен басқарылатын күтім және ересектерге арналған оңалту психикалық денсаулық қызметтері арқылы штаттың барлық 87 округіндегі 11 000-нан астам клиентке қолдау көрсетеді. 16 000-нан астам қызметкерден тұратын ұжым мүгедектігі, созылмалы аурулары немесе психикалық денсаулыққа қатысты қажеттіліктері бар адамдарға қызмет көрсетеді. Жұмысқа орналасу мүмкіндіктері қоғамдастық деңгейіндегі медициналық және қолдау қызметтерінің кең ауқымымен байланысты.

Homecare Billing Specialist (Hybrid - Minnesota)

Manage homecare claims, authorizations, eligibility checks, denials, and reimbursement compliance for Minnesota DHS, Medicaid, and other payers.

Сипаттама

  • Prepare and submit accurate electronic claims to DHS, Medicare and Medicaid managed care organizations, and commercial insurance payers, then track their status
  • Verify that homecare claims contain the correct service codes, units, modifiers, and authorization details
  • Confirm client eligibility, plan type, and benefit coverage through MN-ITS, payer portals, state systems, and other eligibility tools
  • Handle claim resubmissions, voids, and billing adjustments
  • Review authorization information and submit initial, concurrent, and renewal requests
  • Monitor authorization progress, record expiration dates, and follow up on approvals and payer inquiries
  • Investigate and resolve missing, inaccurate, denied, unpaid, or rejected claims and authorizations
  • Work with payer representatives to address complex billing matters
  • Record follow-up actions and escalate payment obstacles when needed
  • Follow DHS, HIPAA, and payer-specific compliance requirements
  • Support internal audits and payer audit requests
  • Coordinate with Operations, Intake, Scheduling, and Case Management
  • Share billing requirements, updates, and issues with internal staff
  • Provide billing-related customer service to caregivers, clients, and external partners
  • Keep authorization requests, approvals, denials, and renewals accurately documented
  • Monitor reimbursement patterns and alert leadership to recurring payment problems
  • Support month-end billing reconciliation
  • Complete other assigned duties

Талаптар

  • High school diploma or equivalent is required
  • An associate degree in Human Services or a similar field is preferred
  • One to three years of experience in healthcare authorization, medical office administration, billing, case management, or payer coordination
  • Experience with state authorization systems, payer portals, or managed care platforms
  • Strong attention to detail and accurate documentation skills
  • Excellent follow-through with the ability to manage multiple tasks and deadlines
  • Strong communication skills and professional phone and email etiquette
  • Ability to work independently while collaborating with multidisciplinary teams
  • Experience with Medicaid, managed care plans, waivers, or state-funded programs
  • Familiarity with clinical documentation, service codes, and prior authorization regulations
  • Knowledge of HIPAA, healthcare privacy requirements, and payer authorization rules is preferred
  • Experience working in a high-volume or fast-paced authorization environment
  • Must pass a background study with the Minnesota Department of Human Services
  • Must follow company remote work policies when working remotely

Артықшылықтар

  • Full-time employment
  • Hybrid remote work arrangement
  • Remote work policies for employees working remotely

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