CareAparent is a Medicare-Certified Home Health and Personal Cares agency accredited by the Joint Commission. We serve our aging population who want to continue to live independently and safely at home for as long as possible. Every service we offer is a response to the needs and goals of our clients and their families, and our efforts as a company are inspired by the desire to explore possibilities for meeting those needs.

Job Duties:

• Process VA billing on a weekly basis
• Private client billing on a bi-weekly basis
• Download and create payment reports
• Managing receiving aging to prevent losses
• Resolve rejected, denied, and zero paid claims
• Work with VA Team to resolve issues with authorizations from VA
• Work with Client Services Team regarding Private Client issues
• Ensure claims are submitted within timely filing deadlines
• Assist in identification, development, and implementation of QAPI initiatives
• Perform random client and caregiver file audits
• Ensure access to all necessary platforms to manage Medicare clients, billing, and reporting.
• Expected to be compliant with Medicare billing timelines (NOA, one claim submissions, corrections, etc.)
• Assist with managing performance of CareAparent's value-based care as mandated by HHVBP
• Responsible for all claims billing, reporting, and remittances
• Must ensure the highest quality of data integrity by ensuring accurate billing and claims submissions
• Investigate denied claims and solve recurring issues causing denied claims
• Maintain strong relationship with payer counterparts to improve billing processes, create efficiencies and be knowledgeable in payer process changes
• Utilize Medicare DDE system to manually enter claims, make corrections, or submit reporting to the MAC
• Ensures OASIS export and reporting is complete and filed with IQIES
• Lead and manage the submission of CareAparent's annual Medicare cost report
• Manage regular A/P and A/R accounting functions related to, but not limited to, general ledger entry, account reconciliation and account reporting
• Assist with answering incoming calls and directing to appropriate departments, fielding private client calls regarding billing issues
• Other necessary functions as determined by manager

Job Qualifications and Requirements:

• Bachelor's degree in accounting or business, or equivalent experience
• experience with working with VA and/or Medicare preferred
• advanced bookkeeping and accounting skills
• advanced knowledge of Medicare billing practices, including experience with DDE, claim corrections, Medicare Cost reporting
• knowledge of payer contracts, provider requirements, fee schedules, authorizations, and claims processing

CareAparent is an Equal Opportunity Employer and qualified applicants will not be discriminated against based on race, color, religion, gender, national origin, disability, or veteran status.

CareAparent participates in the federal E-Verify program.