Payroll/Billing - (Must be able to utilize Availity) Fayetteville, GA Sanzie Healthcare Services Inc is looking for an In-home care Billing and Payroll Accounting Clerk. The Biller/Payroll Accounting Clerk position is responsible for billing, collecting, posting and managing account payments. The ideal candidate will be required to investigate claims issues and staying afloat of account receivables. A strong background in medical billing, with the skills necessary to improve our current billing procedures and collecting on patient accounts. Responsibilities include: • Understand and adhere to established SHCS policies and Procedures • Assist with recruiting, associate hiring, orientations, in-services, disciplinary actions, etc. • Perform payroll duties including verifying time sheets and/or Telephony processing. Computer input of timesheet/Telephone changes for payroll processing. • Preparing and submitting claims to various insurance companies electronically • Enters new employee data into the payroll and processes payroll • Resolving unpaid claims identified on aged A/R and various other reports, and also reviewing and responding to all billing-related correspondence • Denial trends are researched and root causes are identified and reported to the Administrator for resolution • Company Payroll • Answering and triaging calls from caregivers, clients, insurance companies, and prospects • Identifying and resolving insurance/patient billing complaints • Assisting in recruiting on various job boards • Sending MIF, CCNF, and calling VA regarding any expired Prior Authorizations • Preparing, reviewing, and sending patient statements • Ensuring all documents are submitted for proper billing: insurance verification forms, office notes, and encounters/superbills • Reporting delinquent accounts to the Administrator & CEO • Performing various collection actions including contacting Clients by phone, correcting and resubmitting claims to third-party payers • Participating in educational seminars and staff meetings (monthly or weekly) • Maintaining the strictest confidentiality and adhering to all HIPAA guidelines and regulations • Such other tasks as the company may require and/or as needs evolve • Generating, reviewing, and transmitting claims • Payment Posting- Mail & ERA's • Provide customer service regarding billing & collection issues, process and review account adjustments, and resolve client discrepancies and short payments. • Follow up on submitted claims to ensure payer acceptance. • Review rejected and/or denied claims, make corrections, and resubmit clean claims within the required time frame • Review EOBs/ ERA's for any missed opportunities • Follow up on aged accounts receivables through final resolution • Balance bill secondary, and tertiary insurance as well as patients • Follow up on payment errors, over-payments, low reimbursements, rejections and denials • Insurance verification • Other duties as assigned based on billing, payment posting, and demographic entry, to ensure company goals are met and a team environment is maintained • Maintain the confidentiality of the medical information contained in each record. • Recording, monitoring, and processing Company QuickBooks. Reviewing timesheets • Review the client's Pre authorized units/hours and dates given by Medicaid, VA, Private pay, etc. are placed correctly on Axiscare. • Review and approve timesheets and payroll information of assigned staff -Check each employee's Timesheets, member form, and Progress note to reflect Axiscare. • Input the correct hours on the Excel and process payroll and timesheets by the company pay period. Key Requirements: • Ability to research unpaid claims, determine and correct cause, and follow up as needed. • Ability to appeal/rebill underpaid or denied claims within payer deadlines. • Knowledge of CPT, HCPCS, and ICD-9 codes; familiarity with regional and national payers (including Medicaid, VA, Medicare HMO and Medi-Cal HMO plans). • Should be proficient with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems (Availity and MMIS experience a big plus!). • Must have a minimum of 3 years of comprehensive medical billing/collections experience with multiple specialties and a well-rounded understanding of the entire Revenue Cycle process. • Commitment to excellent customer service a must • Excellent written and verbal communication skills • Ability to prioritize and manage multiple responsibilities • HIPAA Compliant Working Hours/Salary: Part-time; Compensation to be determined upon review of credentials and experience. Hours 9.00 am- 6:00 pm Monday - Friday. Required experience/ education: • 3+ years' experience in medical billing, posting charges, insurance verification, payment posting, filing professional claims, & ICD-10 • Certification not required, but is a plus • Associate Degree or equivalent • Proficient in billing software Availity and MMIS software • Strong analytical skills • Experience in medical terminology, accounts receivable, insurance collections and billing • Experience with HIPAA standards and compliance programs • Knowledge of medical billing/collections practices • Knowledge of computer programs • Ability to operate a computer, basic office equipment and a multi-line telephone system • Knowledge of basic third party operating procedures and practice • Knowledge of Medicare/Commercial Payors and Workers Comp • Skill in answering a telephone in a pleasant and helpful manner • Strong organization, oral/written communication and public relations skills • Ability to maintain effective working relationships with patients, employees and the public Job Type: Full-time Required education: • Associate degree or equivalent • Certified Biller and Payroll Clerk Required experience: • In home care billing experience : 2 years • Medical Billing: 2 years • Payroll Experience: 2 years