What Can Traditions Health Offer?

• Competitive Pay
• Great Benefits -- Very Generous PTO Structure from Day 1!
• Supportive Leadership
• Career Growth opportunities
• Training Environment
• Work/Life Balance

About Us: Traditions Health is a leading provider of hospice care, home health care, consulting services and online policy manuals. The company provides care to over 8,500 patients across 18 US states. The company has recently been named to the 2021 Inc. Magazine's “Inc. 5000” list of fastest-growing businesses. As the company continues to expand across the country, Traditions Health remains committed to the same values on which it was founded: focusing on providing patient-focused, compassion-driven care while building strong relationships in the communities it serves. Come Grow with Us!

Job Profile Summary

• The Billing Specialist is responsible for the coordination of the Agency’s billing functions in accordance with state, federal, and local regulations. Reports to the Director of Revenue Cycle.

Job Description

• Education: High school diploma or equivalent
• Knowledge and Skills:Must be able to read and write in English and follow instruction

Knowledge of office machines, excellent computer skills, proficient in Microsoft Office Software, excellent interpersonal and organizational skillsKnowledge of billing and CMS regulations.

• Transportation: Reliable transportation and valid and current auto insurance.
• Environmental and Working Conditions:Works in a routine office environment. Noise level may be moderately high, ability to work a flexible schedule and extended hours. Ability to travel locally and some exposure to inclement weather. Possible exposure to toxic materials, toner, etc.
• Physical and Mental Effort:Prolonged sitting and some standing required. Occasional need to lift, pull, carry and push items weighing up to fifty pounds. Requires working under some stressful conditions to meet deadlines. Requires the potential facilitating of patient/family individualized needs under time constraints. Requires hand-eye coordination and manual dexterity. Required problem solving skills.
• Essential Functions:

Effectively demonstrates the mission, vision and values of the agency on a daily basis.

Ensures all documents are in order and submitted timely according to Medicare and Palmetto standards.

Responsible for the coordination of billing though billing company.

Responsible for HIS Submission for hospice branches.

Ensures timely and accurate submission.Ensure NOEs are submitted within allotted timeframe (5 days following hospice admission).

Follow-up with BlackTree for any discrepancies with report.

Collaborates with the management team to develop and implement plans to ensure billing functions are aligned with company goals.

Responsible for completing medical record request for audit review from payor sources, to include private insurance, Medicaid and MedicareResponsible for OASIS Submission for home health branches.

Ensures timely and accurate submission.

Establish and maintain effective communication within and between branches and with Nursing Home Facilities.Responsible Respite Billing, as determined by Company process.

Responsible for Hospice Room and Board billing process, to include creating Medicaid Room and Board claim, submission of appropriate forms, authorization, and monitoring for pending authorization (expiring authorization)

Responsible for Nursing Home payables to include verification of previously billed Medicaid claims to ensure timely payment, verification of RUG level rates to ensure proper paymentFollows up on denied, under and over paid claims, when applicable.

Completes HCHB Billing Specialist workflow in timely mannerResponsible for the creation and invoicing of private pay patients for Hospice.

Ensure compliance with local, state and federal regulations and the agency’s policies and procedures.

Other tasks as assigned by management

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medicare Billing: 3 years (Preferred)
• Hospice/Home Health Billing: 3 years (Preferred)

Ability to Relocate:

• Franklin, TN: Relocate before starting work (Required)

Work Location: In person