Job Information
BrightSpring Health Services Pre-Bill Auditor in LOUISVILLE, Kentucky
Our Company
BrightSpring Health Services
Overview
Responsible for performing pre-bill audits to ensure billing requirements are met prior to submission of home health claims and working with the billing department and home health agencies to resolve billing issues timely.
Responsibilities
Performs pre-bill audits to ensure billing requirements are met prior to claim submission
Ensures physician orders are signed
Ensures Face-to-Face Encounter documentation is present
Ensures visit documentation is present for all visits to be billed
Communicates with the billing department and home health agency regarding information needed to ensure timely and accurate filing of claims
Assists the agencies with troubleshooting to resolve issues holding claims
Provides support to agencies daily to ensure timely and accurate billing of claims
Maintains knowledge of Medicare billing requirements
Observes confidentiality and safeguard all patient related information
Notifies Supervisor of problems in a timely manner and works to help provide solutions
Completes ongoing education requirements and demonstrates ongoing competency in required areas
Other duties as assigned
Qualifications
High school graduate or GED
Minimum of two (2) years of administrative experience in a health care environment, preferably in home health and/or hospice, preferred
Knowledge of auditing concepts and principles, medical documentation, and billing requirements
Sound knowledge of the framework, organization, and function of home health including eligibility requirements
Proficient in the use of Microsoft Office (Word, Excel, Outlook, Internet Explorer) with the ability to learn industry specific software applications
Solid organizational skills, thoroughness, and a keen attention to detail with the ability to multi-task while prioritizing effectively
Ability to work independently and in a team environment
Excellent oral, written, and interpersonal communication skills
Professional appearance and demeanor s
About our Line of Business
BrightSpring Health Services is a leading provider of complementary home and community-based pharmacy and health services for complex populations in need of chronic and/or specialized care. Through the company’s pharmacy and provider services to seniors and specialty (including behavioral) populations, we provide comprehensive care and clinical services in 50 states to over 360,000 customers, clients and patients daily. The company’s services foster greater patient and family satisfaction, improve outcomes and reduce health care system costs, and are supported by industry-leading quality outcomes. For more information, visit www.brightspringhealth.com. Follow us on Facebook (https://www.facebook.com/brightspringHS/) , Twitter (https://www.twitter.com/BrightSpringHS/) and LinkedIn (https://www.linkedin.com/company/brightspringhealth/) .
ALERT: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card, driver’s license, bank information, or payment for work equipment, etc.) from you via text or email. If you are suspicious of a job posting or job-related email mentioning our company, please contact us at TalentAcquisition@brightspringhealth.com .
Click here (https://www.brightspringhealth.com/careers/frequently-asked-questions/) for additional FAQ information.
Job LocationsUS-KY-LOUISVILLE
ID 2024-146234
Line of Business BrightSpring Health Services
Position Type Full-Time