Intake Services Representative - Home Care jobs in Illinois

Work at the direction of the Director and perform according to the scheduled duties. This person will assist billing for verifying and processing billable and nonbillable services through Medicare or private insurance carriers and makes sure that all necessary documentations are complete and accurate before sending it to the carriers. This candidate will mainly be scheduling our clinicians to assist clients in varying areas of Illinois, as well as accepting clients and completing their intake forms. This person will assist Ensure all service provided is completed according to BIHC’s standards and expectations.

* Prefers an individual with billing background or is currently in the medical or health care profession.

* Professional communicator, who can establish rapport with patients and deal with concerns and problems in a professional manner.

Performance Standards

• Ensure that the Agency is compliant with all applicable federal, state, local and Medicare laws and regulations.
• Be familiar with the applicable rules of the Illinois Department of Public Health and maintain them within the Agency.
• Maintain appropriate patient and Agency records, and all other documents in a locked and secure place according to the policies and procedures of the Agency.
• Verify patient information, service coverage and eligibility from the insurance carrier before accepting or denying any services.
• Be familiar and compliant with different insurance company’s policies and procedures to ensure service coverage and invoices are processed accordingly.
• Ensure eligibility of the patient to receive services by securing authorization from the insurance company before starting or resuming any services.
• Responsible in checking and verifying allowed number of services to prevent nonbillable or denied claims.
• Review patient services before authorization expires and document any updates in a timely manner.
• Review all necessary documentations to ensure its completeness and accuracy before submitting to Medicare or insurance carriers for claims.
• Review all incoming payments to ensure received payments are equivalent to service rendered and be able to handle it when necessary.
• Update and maintain all Billing records and reports according to BIHC’s policies and procedures.
• Handle and resolve issues regarding billing such as denied claims, denied coverage, inconsistent payment versus invoice in coordination with the Billing Director in a timely manner.
• Conduct weekly review on: outstanding balance from Medicare, insurance carriers or from the patient; audit notifications; and billing logs, to ensure payments are followed through and processed in a timely manner.
• Conduct necessary follow-up on outstanding invoice to avoid long-standing receivables.
• Respect confidentiality of any patient and Agency information when discussing patient’s information and organizational matters only to authorized personnel.
• Assist in preparing accurate daily, weekly, monthly, quarterly and yearly Billing reports and present this to the Chief Executive Officer.
• Ensure necessary documents are completed and signed according to the Agency and Medicare guidelines.
• Be able to multi-task and organize work to meet any deadlines.
• Maintain professional relationship and attending to patient, staff and client inquiries within twenty-four (24) hours or as prompt as possible.
• Be available during all hours of operation of BIHC.
• Perform any additional duties that meet the Agency, federal, state, local and Medicare guidelines as determined by the Director.

Job Type: Full-time

Pay: $17.00 - $23.00 per hour

Benefits:

• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• Weekends as needed

Experience:

• ICD-10: 1 year (Preferred)

Ability to Relocate:

• Crystal Lake, IL: Relocate before starting work (Required)

Work Location: In person