Homecare Reimbursement Specialist- Homecare FinanceRequisition ID2024-47883CategoryAccounting/FinanceOverviewHomecare Reimbursement Specialist- Homecare FinanceCoordinates patient accounts from time of prior authorization to point of bill payment or referral to collection. Processes all billing for home health agency to appropriate agencies, including Medicaid and self-pay; computes contractual adjustments, maintains related files and records. Maintains current knowledge of changes in billing requirements and regulations. Assists client in resolving billing problems.Schedule: (Full time, Non-Exempt)Location:255 East Main Street255 E Main StColumbus, Ohio 43215United StatesWhy Nationwide Children's Hospital?The moment you walk through our doors, you feel it. When you meet our patient families, you believe it. And when you talk with anyone who works here, you want to be part of it. Welcome to Nationwide Children's Hospital, Where Passion Meets Purpose.Here, Diversity, Equity and Inclusion are integrated into our core values and practices. We are passionate about building, sustaining and evolving an inclusive and equitable environment. We are seeking individuals who live these values and want to share their experiences and efforts in support of our collective mission.We're 14,000 strong. And it takes every one of us to improve the lives of the kids we care for, and the kids around the world we'll never meet. Kids who live healthier, fuller lives because of the knowledge we share. We know it takes a Collaborative Culture to deliver on our promise to provide the very best, innovative care and to foster new discoveries, made possible by the most groundbreaking research. Anywhere.Ask anyone with a Nationwide Children's badge what they do for a living. They'll tell you it's More Than a Job. It's a calling. It's a chance to use and grow your talent to make an impact that truly matters. Because here, we exist simply to help children everywhere.Nationwide Children's Hospital. A Place to Be Proud.ResponsibilitiesReviews insurance/primary payor information for completeness.Collects and documents ongoing payer source information.Verifies prior authorization requirements from the public and private insurers.Obtains initial and ongoing prior authorizations for all service lines according to payor specific requirements.Performs data entry of initial and ongoing patient information and authorizations within acceptable timeframe according to NCHH policy and procedures.Reviews statements and claims for reasonability and completeness. Identifies and obtains necessary additional information. Rebills accounts when necessary. Identifies billing problems and recommends solutions to the NCHH Finance Manager and family as appropriate.Prints, posts, and processes all patient bills, correlating the required documentation for submission of bills for reimbursement in a timely manner.Posts payments to accounts upon receipt.Generates all billing, cash receipts, write-offs and related reports for monthly accounting review.Provides follow-up rejection/denials/unpaid bills in a timely manner.Monitors accounts. Processes refunds, refiles and corrects accounts, identifies and resolves billing problems, consults with representatives from reimbursement agencies.Notifies NCHH Finance Manager of inquiries/complaints pertaining to patient accounts from patients, insurance companies, collection agencies, legal representatives and NCH services.Maintains current knowledge of changes in billing requirements and regulations; monitors changes in Medicaid, BCMH and Medicare regulations and billing requirements; files procedure updates; and revises billing procedures.Verifies pri