Home Health Reimbursement Services (VRS) - 289 Jobs

BAYADA Home Health Care is seeking a Healthcare Medical Collections Associate to work in our Home Health Reimbursement Services office. Are you looking for an exciting opportunity in a fast-growing industry? Do you want to make a difference in people’s lives while you grow your career and learn the business? Then the Reimbursement Associate position might be right for you! This is REMOTE position . Qualified candidates must be able to work Eastern Standard Time hours. MINIMUM QUALIFICATIONS: Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability. Degree preferred (combination of education and experience may be used in lieu of degree) Minimum of one (1) year experience with Healthcare collections/accounts receivable experience Must have collections experience Experience with HCHB preferred Intermediate experience with Microsoft Excel Demonstrated record of strong interpersonal skills. Demonstrated record of goal achievement. Prior health care and home care experience is a plus. Competence in basic PC skills required to perform job functions. PRIMARY RESPONSIBILITIES: Manage a dedicated accounts receivable for select payor organizations, external business or clients ensuring timely payment. Complete claim denial management functions to ensure timely follow-up with denied claims and complete root causes analysis to determine ways to prevent claims from denying. Process balance transfers, adjustment requests, refunds and corrected claims as part of accounts receivable management responsibilities. Complete administrative appeals and escalation of outstanding claim issues with payor organizations. Communication of accounts receivable status with internal customers within service office locations providing status updates with outstanding A/R, bad debt risk and requests needed to secure payment from a client or payor organization. Coordinate requests for additional data or workflow between internal revenue cycle departments to allow for claim payment. Communicate and escalate accounts receivable trends with immediate supervisor, director and management teams to ensure timely and compliant payment for services. Review, document and communicate any claim processing or related changes initiated by payor organizations. Work within multiple practice management systems, claim clearinghouse solutions and payor websites to conduct research and complete necessary workflow. Ability to met/exceed established performance goals COMPENSATION $20-$26/hour depending on experience Quarterly bonus between $500-$2000/quarter depending on experience and role WHY CHOOSE BAYADA? We know that great care starts with great people. That’s why we offer: 401(k) with company match Paid time off, including holidays, vacation, and sick days Weekly pay with direct deposit Employee Assistance Program to support your well-being Monday–Friday schedule – no weekends or holidays required Career growth and advancement opportunities within a nationally respected Nonprofit Organization: BAYADA is mission-driven, and you may be eligible for the Public Service Loan Forgiveness (PSLF) Program As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here . BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.

POSITION SUMMARY: The Senior Associate is responsible for reimbursement services duties including but not limited to verification of billing accuracy, perform meaningful collection activity, participate in payer projects, preparation of reports, analysis of data and metrics, presentation of findings, and the provision of administrative and project support. In addition to working autonomously, this position is differentiated from the Associate role through a demonstration of one or more of the following: subject matter expertise, ownership and accountability for complex assignments, and the ability to work in a supervisory capacity leading, coaching, and training others. It is a mid-level professional track position and will offer training and continuing education to support a career in management and leadership within BAYADA Home Health Care. MINIMUM QUALIFICATIONS: Exemplifies characteristics of The BAYADA Way : compassion, excellence and reliability. Four (4) year college degree. Two (2) years’ successful experience in a Collection III or Billing III Reimbursement Services role. Minimum of four (4) years of experience in a Home Healthcare Billing and Collections environment. Specialized depth and/or breadth of expertise of Reimbursement Services processes and business. Possesses effective project management skills including the ability to facilitate and organize. Demonstrates well-developed presentation skills. Proficient in basic business software applications required to perform job functions. Demonstrates excellent leadership, interpersonal, and motivational skills. Solid record of goal achievement and exceeds performance standards. Able to handle multiple tasks. Ability to arrange information and files in a useful manner. Understands the company’s organizational structure, financial status, and operational goals/objectives. Embraces the organization’s entrepreneurial spirit through the recognition and capitalization of opportunities and a healthy challenge of the status quo. PRIMARY RESPONSIBILITIES: Demonstrate and communicate the core values of BAYADA and The BAYADA Way . Develop working knowledge of BAYADA’s mission, services, people, organization, policies and procedures. Typically, majority of role is completing billing and/or collection activities. The percentage of time dedicated to other responsibilities will be allocated by manager or director. Manage at least one team member or multidisciplinary project/process. Analyze and identify the resources required to complete the office’s routine work plan or special projects. Provide day-to-day operational management support of the office’s routine work plan or special projects. Proactively identify, define, and solve the most complex problems that impact the management and direction of the business and reimbursement services. Interpret internal or external business issues and recommends solutions/best practices. Solve complex problems; take a broad perspective to identify solutions. Formulate strategies to ensure successful completion of the office’s routine work plan, special projects, and revise the information to meet changing needs and requirements. Research complex information through the compilation of statistics, analysis of data and summarization of information for review. Demonstrate an increased level of technical, mathematical, or scientific skill. Responsible for performance, productivity, and training of specific processes or areas in a department. Manage and coordinate Payer projects. Work independently, with guidance from management in only the most complex situations. Assist in leading regional team meetings or presentations. Act in an Account Manager role as support to the customer base. (service offices) Serve as an expert within own function. Act as a committee member within department. Participate in special projects: prepare reports and presentations using Microsoft Office (Word, Excel, PowerPoint etc.). Create and manage policies, practices and procedures related to BAYADA Reimbursement Services offices. Respond promptly and professionally to all client, service office and payer inquiries. Draft and distribute professional correspondence and announcements (including the publication of newsworthy information in the BAYADA Bulletin). Conduct behavior in a professional manner. Progressively assume additional responsibilities as needed. Demonstrate solid performance or exceed performance standards in key job dimensions/attributes as defined on the Performance Appraisal for Office Staff. Perform related duties, or as required or requested by supervisor. BAYADA believes that our employees are our greatest asset: Base Salary: $48,000 - $65,000 / year depending on qualifications Bonus Opportunity BAYADA offers a comprehensive benefits plan that includes the following: Paid holidays, vacation and sick leave, vision, dental and medical health plans, employer paid life insurance, 401k with company match, direct deposit and employee assistance program To learn more about BAYADA Benefits, click here As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA is celebrating 50 years of compassion, excellence, and reliability. Learn more about our 50th anniversary celebration and how you can join in here . BAYADA Home Health Care, Inc., and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to sex, race, color, age, disability, pregnancy or maternity, sexual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.