This is an in-office, M-F position. Unfortunately we are not open to remote or hybrid at this time.

What Can Traditions Health Offer?

• PHENOMENAL PTO- -Starting Day 1!!!
• Competitive Salary
• Supportive Leadership
• Career Growth opportunities
• Training Environment
• Work/Life Balance
• MDLive: 24/7/365 access to doctors
• 401K and HSA with MATCH

Job 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.

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 skills
• Knowledge 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.

Physical and Mental Effort:

Prolonged sitting and some standing required. 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.
• 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 Medicare
• 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 payment
• Follows up on denied, under and over paid claims, when applicable.
• Completes HCHB Billing Specialist workflow in timely manner
• Responsible 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

Benefits and More
Traditions Health is highly invested in not only your overall health, but also your future. This is reflected in the benefits we provide and the opportunities we make available to our employees. Benefits for eligible employees include:

• Full range of health Insurance-Medical, Dental & Vision (Blue Cross Blue Shield Insurance)
• Generous PTO (that increases with your tenure)
• Fleet Car for eligible employees
• 401k matching
• Health savings Account
• Company Sponsored Life Insurance
• Short and Long-term Disability Insurance
• Employee Assistance Program
• Supplemental Life Insurance
• Be a part of a culture of learning that will take your professional growth to another level with collaborative thoughtful team members.

Job Type: Full-time

Pay: From $19.00 per hour

Benefits:

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

Schedule:

• 8 hour shift
• Monday to Friday

Experience:

• Medical billing: 2 years (Required)
• Hospice/Home Health: 2 years (Preferred)
• MEDICARE Billing: 2 years (Preferred)

Ability to Relocate:

• Franklin, TN 37067: Relocate before starting work (Required)

Work Location: In person