Medical Billing Auditor-Aleca Home Health

As our company expands, we are actively seeking seasoned Medical Billing Auditor. If you're prepared to elevate your career and reap the rewards of an unparalleled compensation package, we extend a warm invitation for you to join us on our journey of growth here at Aleca Home Health!

Why Choose Aleca Home Health?

• Comprehensive Benefits: Access to comprehensive benefit coverage plans to ensure your health and well-being are prioritized. 
• Generous PTO: Enjoy ample paid time off to recharge and pursue personal endeavors, fostering a healthy work-life balance.
• Tuition Reimbursement: Invest in your professional development with our tuition reimbursement program, empowering you to advance your skills and knowledge.
• IT Equipment: Equip yourself with the necessary tools for success with state-of-the-art IT equipment provided by Aleca Home Health.
• Collaborative, Supportive Team: Join a team of passionate professionals dedicated to our core values, including prioritizing people, delivering exceptional customer experiences, embracing optimism, and executing best practices.
• Inclusive, Diverse Work Environment: Experience a workplace where every employee's unique contributions are celebrated and valued, fostering an environment of inclusivity and diversity.

About Aleca Home Health:

Aleca Home Health is a rapidly growing Home Health agency currently serving patients in Arizona and Washington. We pride ourselves on being a Medicare & CHAP certified Home Health agency committed to providing "Care with Compassion" to our community. Our comprehensive services include nursing, physical therapy, occupational and speech therapy, social work, and home health aides, all delivered in the comfort of our patients' residences.

Role Summary:

The Medical Billing Auditor is responsible for ensuring that there are no errors in medical bills or any fraudulent activity and claims are submitted in a timely manner. 

• Prepare, manage, and audit all primary and secondary insurance verifications and re-verifications for medical insurances such as Medicare, Private and Managed Care patients via paper or electronic means according to payer specific rules.
• Responsible for pre-billing audits, inputting and maintaining the daily client lists and pre-billing audits in the Accounts Receivable (AR) or other financial software systems.
• Accurately maintain all patient accounts including monthly statements and collections.
• Research and resolve EOB rejections and other issues with outstanding accounts.
• Post cash receipts and adjustments as needed.
• Facilitate initial and ongoing authorizations from patient insurances.
• Review contracts to verify insurance payment and insurance requirements.
• Assist facilitating and managing the Monthly Triple Check process.
• Assist in maintaining payer setup in the AR software.
• Communicate with managers and staff as required to obtain or verify billing information.
• Communicate with patients and/or families regarding patient data and account status.

• Minimum two (2) years’ experience in Healthcare Billing and Collections to include Medicare Part A & Part B, Commercial, Medicaid and co-insurance are required.
• Proficient computer skills with familiarity with computer applications to include medical billing software systems and Microsoft Office (Word, Excel, Outlook, and PowerPoint).
• Home Health billing experience is required.
• Experience with Way Star and Well Sky software is preferred.

• Comprehensive benefits coverage including medical, dental, vision, life insurance, PTO and paid holidays, with 401(k) with match.
• Employee Referral Bonus Program
• Flexible Schedule
• Tuition Assistance

EQUAL EMPLOYMENT OPPORTUNITY: It is the policy of our organization to provide employment opportunities to all persons based solely on ability, regardless of race, color, religion, sex, national origin, age, sexual orientation, gender identity or disability.

When requested by a candidate, reasonable accommodations will be made in order for an otherwise qualified applicant with a disability to participate in any phase of the recruitment process. Please contact careers@alumus.com to request an accommodation. Requests should be made 24 hours in advance or as early as possible to allow time to arrange the accommodation.