Billing Specialist

Overview

Join a company focused on people-first care and a supportive workplace culture.

Aveanna emphasizes employee connection, inclusive growth, community service, and wellness initiatives. The organization offers a collaborative environment with recognition for leadership, diversity, career growth, work-life balance, and employee well-being.

Job Overview

The Billing Specialist reports to the Reimbursement Supervisor and is responsible for the proper and complete handling of aged patient accounts to maximize collections on billed accounts. The role works closely with branch personnel to help ensure timely payment from all payers, including primary, secondary, tertiary, commercial, Medicare, Medicaid, and private pay accounts.

Key Responsibilities

• Collect delinquent accounts receivable balances
• Document collection efforts in EMR notes, including payer contacts, phone numbers, issues, and actions taken
• Maintain current A/R and DSO at acceptable levels
• Achieve quarterly cash goals
• Communicate significant payer or processing issues to the supervisor and branch personnel
• Submit adjustments accurately and on time
• Request bridge tickets to correct and update the EMR
• Work with billers to ensure claims are refiled or billed to secondary insurance promptly
• Understand payer-specific claim submission requirements, including CMNs, nursing notes, and invoices
• Enforce SOX 404 controls
• Review and respond to payer correspondence
• Review and submit guarantor statements and answer patient questions about statements
• Address denials in an accurate and timely manner
• Complete document request forms and forward them to the location as needed
• Provide exceptional customer service
• Evaluate data, reports, feedback, observations, and other information to set priorities
• Use prior knowledge and industry experience to resolve problems
• Perform duties with professionalism, urgency, and strong communication skills