WellSky Reimbursement Services is a Home Health Reimbursement business. We are a part of the WellSkyfamily. Looking for a career that will stimulate your analytical thinking? The individuals who excel in this role are highly ambitious, results driven, and willing to "think outside the box". This position requires a high level of professional customer service, attention to detail, and the ability to work well as part of a fast paced team. The ideal candidate for this position has a high level of multitasking abilities and is driven by moving metrics to achieve success!

As a Reimbursement Coordinator, you will perform expert, high-level billing and collections for our Home Health and Hospice customers while mastering the software platform that your customer(s) uses. As a Sr. RC you will be expected to "think outside of the box" in solving complex Home Health and Hospice reimbursement problems; assist with educating and training new staff; be a mentor to those in the office that can benefit from your expertise; and assist with analyzing trends, identifying payer issues, and month-end processes.

A day in the life!

• Provide back up and support to the Senior Manager RCM and serve as a subject matter expert on Home Health and Hospice RCM process


• Claims generation, post cash/reconcile cash and Accounts Receivable follow up for both Home Health and Hospice clients


• Develop knowledge for billing systems and clearinghouses for electronic billing


• Process claims including correcting claims, RTP, clearinghouse edits, etc.


• Develop knowledge of insurance company requirements including claim coding, units of service and required documentation


• Working knowledge of remittance advice and cash posting


• Understanding of regulatory and compliance issues that relate to RCM for Home Health and Hospice billing


• Capture and present data to clients


• Perform analysis of data and develop corrective action plans


• Review AR data and convey information as to next steps for collection


• Establish and maintain business relationships via telephone and email contact


• Coordinate a high volume of claims activity across multiple systems/agencies


• Assists other department members as necessary


• Responsibilities may necessitate flexibility in working hours.Have the willingness and ability to fill in for an employee that is out unexpectedly or as directed by Supervisor or Manager


• Become an on-going mentor and set a positive example for team members

Do you have what it takes?

Job Competencies:

• Windows, Word and Excel


• Healthcare insurance claims processing knowledge or healthcare billing knowledge or healthcare collection knowledge

Job Requirements:

• High school diploma or GED.


• Experience with billing and/or collections or insurance claims processing

Preferred Requirements:

• Home Health/Hospice billing/collection experience, some college education

#LI-TR

About WellSky

WellSky is a leading supplier of software and services solutions that help acute, post-acute, and human service providers improve efficiency, support business growth, and provide intelligent care to patients and people in need. WellSky is headquartered in Overland Park, KS with 1,800 teammates across the U.S., Canada, and the U.K. WellSky serves more than 20,000 client sites around the world - including the largest hospital systems, blood banks and labs, in-home care agencies, post-acute care facilities, government agencies, and human services organizations. WellSky's software and services address the continuum of health and social care - helping businesses, organizations, and communities solve touch challenges, improve collaboration for growth, and achieve better outcomes through predictive insights that only WellSky solutions can provide. Informed by 40 years of providing software and expertise, WellSky anticipates providers' needs and innovates relentlessly to help people thrive. Our purpose is to empower care heroes with technology for good, so that together, we can realize care's potential and maintain a healthy, flourishing world.

We're looking for talented individuals who want to use their skills to build a strong, technology-driven company. We offer competitive salaries, great benefits, a new Health Savings Account with a generous employer contribution and a casual and fun environment that encourages quality, creativity and excellence. Enjoy all we have to offer. We invite you to join us. Apply today!

WellSky provides equal employment opportunities to all people without regard to race, color, national origin, ancestry, citizenship, age, religion, gender, sex, sexual orientation, gender identity, gender expression, marital status, pregnancy, physical or mental disability, protected medical condition, genetic information, military service, veteran status, or any other status or characteristic protected by law. WellSky is proud to be a drug-free workplace.

Applicants for U.S. based positions with WellSky must be legally authorized to work in the United States. Verification of employment eligibility will be required at the time of hire. Visa sponsorship is not available for this position.