Tammy Gutierrez

Responsible for the business functions and day-to-day operations of the billing and financial reporting systems for Moorings Park Community Health (home health agency). This position ensures reimbursement through efficient billing and collections operations and effective accounts receivable management. The Home Health Billing Specialist provides back up for the Skilled Nursing/Outpatient Therapy Billing Specialist. Essential Job function Conducts pre billing audit for accuracy of claims. Oversee submission and documentation and coding Prepare and review for accuracy private duty client and certified billing statements. Process refunds, invoices, statements, collections according to policies. Maintain a comprehensive working knowledge of government billing regulations including Medicare and private insurance regulations. Attend and participate in monthly Staff meetings with agency staff. Prepare annual financial statement audits, cost report, internal audits, and other internal/external reposting, as necessary. Submit quarterly Medicare Credit Balance report as approved by Chief Financial Officer. Prepare and mail annual summaries at year end as requested. Reconciliations of month end account balances. Assist in the preparation of any regulatory and audit reporting completed by Finance department, including payroll corrections. Responsible for patient/client calls, payer calls and billing/collections correspondence while providing professional responses and resolutions both timely and accurately. Responsible for maintenance, training and testing within the EMR system including annual price adjustments and execution of testing needed for EMR updates. Access the Fiscal intermediary Support System (FISS) for all Medicare A & B claims as well as any applicable insurance companies online, to address any denials or delay in payments in a timely manner. Contact FISS or such companies when necessary. Acts as the back up for Skilled Nursing/Outpatient Therapy Billing Specialist. May perform other duties as assigned.