QA Lead/Biller

Is Tender for you?

Are you looking for a challenging position in the medical field? If you are interested in getting acclimated into the medical industry by reviewing detailed clinical records then apply to Tender Home Health.

If you are interested in a competitive salary, career growth and working with a familial culture, apply now. Tender Home Health is a young, energetic company that values the growth of each of our team members. The Quality Assurance (QA) will lead a motivated team to review medical documentation to ensure correctness. Apply to Tender today!

Our Dynamic Culture

We know that our staff is the life blood of our agency. We are dedicated to ensuring that our staff has the opportunities for the career path they desire. To support our staff, we have a gratitude culture where we constantly celebrate our associates’ achievements. This is evident in our many rewards and recognition practices.

Here are some examples of methods we developed to keep our close knit culture:

Fun, innovative ways to highlight the teams’ successes
Team oriented bonuses
Familial atmosphere where we would like to know your life outside of Tender and share it with the team
Numerous social activities to celebrate team milestones

We also do not shy away from hard work and grit. We are very upfront with critical feedback, as we want all of our team members to grow in their careers. We constantly mentor our staff to develop key skills that can be utilized beyond our company. Whether it be for 1 year or 20 years, during your stay at Tender, we will ensure you learn behaviors that you will utilize in any other endeavors.

Life is short, strive for excellence.

Position Overview:
We are seeking a skilled and detail-oriented Home Health Medicare Biller to join our team in California. As a Home Health Medicare Biller, you will play a critical role in ensuring accurate and timely billing for our home health services while adhering to Medicare guidelines and regulations. Your expertise in handling Medicare claims and reimbursement processes will be essential in optimizing revenue cycle management and supporting the financial stability of our organization.

Qualifications

Required:
* Supervisory experience – management, training, developing people and recruiting
* Expert in ICD10
* Tech Savvy – ability to learn new systems including Electronic Medical Systems
* Deep experience with Microsoft Office, specifically Microsoft Excel
* Superior research skills – particularly for Medicare rejections, ICD10 and reimbursement
* Comfortable with Medical Records and Medical Terminology
* Experience in medical billing
* Proficiency in using billing software and EHR systems.
* Strong attention to detail and accuracy in data entry and documentation.
* Effective communication and interpersonal skills to collaborate with internal and external stakeholders.
* Ability to work independently and prioritize tasks to meet tight deadlines.
* Solid knowledge of Medicare guidelines, regulations, and coding procedures related to home health services.

Desired:
* Experience in Healthcare – patient management, medical documentation and clinician support
* Knowledge of medical documentation
* Experience in medical quality assurance
* Experience with medical electronic documentation
* College degree
* Current License Vocational Nurse, Registered Nurse or Physical Therapy license

Behaviors:
* Excellent communication – presentation and interpersonal skills
* Detailed oriented
* Display tenacity and initiative with a goal oriented attitude
* Demonstrates a “growth mindset,” with a proactive attitude towards learning and improving skills, coupled with a strong sense of personal responsibility and initiative in achieving goals.

Your Day to Day Activities

QA lead will review medical records to ensure they are complete and accurate and assist with billing. To achieve this, QA must be detailed oriented and work closely with the clinical staff. The QA lead will also manage other QA members – training, auditing and providing feedback.

Specific activities include:

* Manage QA team to achieve targets
* Review Home Health charts to ensure documentation is complete and accurate
* Utilize ICD-10 Coding for medical diagnosis required for billing
* Work with clinical staff to correct issues
* Document common issues to prevent future clinical errors
* Perform chart audits on an ongoing basis to verify correctness, completeness, and conformance to standards
* Create reports to document team progress
* Bill Medicare Claims
* Monitor claim status, rejections and AR

Serious candidates only. If you want to apply, send an email to Click to view and in the subject put “QA Lead”. Also attach your resume and send 2-3 sentences about why you feel you are the best person for the position.