Billing Coordinator for Hospice Services
CHSGa Home Health - Macon, GA
Apply NowJob Description
Join us at Is this your next job Read the full description below to find out, and do not hesitate to make an application.- a place where you'll be valued, recognized and rewarded for the vital work you do each day. We'll surround you with a strong team and leadership that supports every aspect of your life - both inside and outside of our centers. And you'll get to practice your passion in a non-profit, mission-driven organization that's known for the highest level of care in our communities.Responsible for billing and collections functions in accordance with current federal, state and local regulations that govern hospice agencies.ESSENTIAL DUTIES AND RESPONSIBILITIESAssists in processing monthly hospice billing/charges to the appropriate pay sources and responsible parties each month for the previous month's charges.Assists in processing daily hospice billing/charges to the appropriate pay sources and responsible parties (Daily billing for Medicare, monthly billing for private insurance).After securing visit authorizations for private insurance patients, will reconcile the actual visits done vs. what was initially authorized and communicate the variance to the appropriate persons.Communicates with patients, clients, responsible parties, insurance companies, Medicare, Medicaid, billing company and others in order to collect outstanding receivables due.Demonstrates knowledge and compliance with rules and regulations regarding Medicare, Medicaid and private insurances.Researches accounts receivable open items, denial, partial payments on a monthly basis and take necessary measures to collect monies due from appropriate sources.Develops working relationships with hospice associates regarding accurate data entry to ensure clean claim submission.Processes and analyzes claims reports on a daily basis identifying exceptions and working collaboratively with the office associates to reconcile and resolve all outstanding issues.Responsible for working to appropriately resolve issues to submit clean claims which may include, but not limited to communication with leadership, office and regional leadership as well as office staff and including clinicians.Reviews all hospice admissions in a timely manner for verification of benefits, accuracy of initial data entry, and if applicable, obtain pre-certification and/or authorization for services.Communicates RTP's to appropriate persons and resolves these in collaboration with the associates of the respective organizations.Works with Administrators for Hospice Services to ensure systems are updated as needed to reflect appropriate codes, charges, pay sources and accounts receivable to ensure compliance and correct billing.Establishes systems for the orderly receipt of remittance advices, explanation of benefits and responsible party payments.Consults with Administrators for Hospice Services and operations concerning the operations of the billing & collections department to assist in eliminating/correcting problem areas and/or improving processes.Complies with the organization's Compliance, Privacy & Security programs.Verifies room and board invoices are received timely. Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.Performs other duties as necessary to ensure the success of the System.SKILLS AND ABILITIESAbility to utilize and master the billing software programs.Knowledge of financial management and organizational concepts.Ability to effectively communicate and present information in a clear and concise manner both oral and written.Ability to understand, communicate and respond appropriately in regards to basic medical terminology.Must be willing to attend educational meetings and conferences, including webinars and teleconferences to learn new rules and regulations pertaining to coding and billing.MINIMUM QUALIFICATIONSA high school diploma is required.Minimum of two (2) years of experience in hospice billing and collections.LANGUAGE SKILLSMust possess the ability to read and interpret document such as safety rules, operating and maintenance instructions and procedure manuals, ability to write routine reports and correspondence, and the ability to speak effectively before groups of customers or associates of the organization.MATHEMATICAL SKILLSMust possess the ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.REASONING ABILITYMust possess the ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format, and the ability to deal with problems involving several concrete variables in standardized situations.COMPUTER APPLICATION SKILLSThis job requires initial proficiency with the following computer applications including but not limited to:Microsoft Outlook, Microsoft Excel, Microsoft Word, Electronic Health Record.PHYSICAL DEMANDSThe physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the associate is regularly required to sit, talk or hear. The associate frequently is required to walk. Use hands to finger, handle or feel and reach with hands and arms. The associate is occasionally required to stand. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus. For collaborative and educational purposes, the associate will need to drive to offices greater than 100 miles and may require overnight stay.EEO / M / F / D / V / Drug Free WorkplaceAffinis Hospice Facebook#J-18808-Ljbffr
Created: 2024-10-16