Medical Billing

Job Description: • OASIS Documentation & Accuracy: Ensure precise and efficient completion of OASIS (Outcome and Assessment Information Set) documentation, adhering to regulatory and clinical standards for home health care reporting. • Medical Coding & Compliance: Apply correct medical codes for services provided, ensuring compliance with ICD-10, CPT, and HCPCS guidelines while avoiding coding errors that could impact reimbursement. • Billing & Claims Processing: Prepare, submit, and track insurance claims, ensuring timely reimbursements from Medicare, Medicaid, and private insurers while resolving denials efficiently. • Clinical Documentation Review: Work closely with clinicians to review and validate clinical documentation, ensuring accuracy and completeness in alignment with payer requirements and regulatory guidelines. • Revenue Cycle Management: Monitor accounts receivable, follow up on outstanding claims, and resolve billing discrepancies to maintain steady cash flow for healthcare operations. • Regulatory Compliance & Audits: Stay up to date on home health regulations, Medicare guidelines, and insurance policies while assisting with internal audits and compliance checks. Requirements: • OASIS Expertise: Minimum 1 year of hands-on experience using OASIS, with a strong understanding of clinical assessment documentation and home health regulations. • Medical Billing & Coding Experience: 2.5-5 years of experience as a Medical Billing Specialist, with proficiency in coding practices (ICD-10, CPT, HCPCS) and insurance billing. • Clinical Knowledge & Documentation: Strong familiarity with clinical workflows, medical terminology, and healthcare documentation requirements, particularly in home health and rehabilitation. • Efficiency & Attention to Detail: Ability to quickly and accurately process OASIS documentation, coding, and billing tasks while ensuring compliance with payer guidelines. • Billing Software & EMR Proficiency: Experience working with electronic medical records (EMR) and medical billing software for claims submission, reporting, and reconciliation. • Industry Experience Preferred: Prior experience in home health, rehabilitation, or outpatient therapy billing is preferred to ensure understanding of industry-specific requirements and best practices. Benefits: • Competitive salary • Opportunity to shape the HR function of a rapidly growing BPO. • Work closely with a team of industry leaders who have successfully scaled BPOs in the past. • Career growth and development opportunities.