What are the responsibilities and job description for the Billing Specialist position at Community Hospice, Inc. Ashland, Ironton?
Description
The Billing Specialist is responsible for processing all commercial insurance along with palliative care claims. The Billing Specialist is responsible for pre-authorizations, following up on denials and collections on accounts. He/She will maintain accurate patient reimbursement data and ensure compliance with regulations and Community Hospice accounts receivable and billing procedures.
Responsibilities
Expected hours: 32 per week
Benefits
Requirements
QUALIFICATIONS:
College degree or Degree of Certification in Medical Coding (Required)
Experience
2 years (Required)
The Billing Specialist is responsible for processing all commercial insurance along with palliative care claims. The Billing Specialist is responsible for pre-authorizations, following up on denials and collections on accounts. He/She will maintain accurate patient reimbursement data and ensure compliance with regulations and Community Hospice accounts receivable and billing procedures.
Responsibilities
- Report to the Chief Financial Officer.
- Responsible for obtaining preauthorization for insurance eligibility and benefits upon admission and level of care change.
- Responsible for processing commercial insurance billing.
- Responsible for processing commercial insurance and palliative care co-pays and deductibles.
- Process palliative care claims weekly.
- Ensure billing is performed timely and accurately.
- Monitor accounts receivable, maintains aging of accounts within agency goals.
- Ensure collections on accounts are routinely performed for each reimbursor.
- Ensure denials are monitored and received.
- Assist billing department with various billing related tasks
- Demonstrate knowledge and understanding of hospice reimbursement and billing procedures.
- Assist or perform billing for other payors as needed.
- Work with CTA to ensure patient financial information and level of care changes are obtained and verified to ensure prompt collections with appropriate financial sources.
- Process electronic Medicare election submissions when needed.
- Ensure ledger cards are accurate and level of care changes are made.
- Must be able to participate in the Federal and State healthcare programs.
- Extreme attention to detail.
- Knowledge and experience with private insurance, palliative care billing procedures.
- Demonstrate knowledge and understanding of private insurance, and palliative care reimbursement and billing procedures.
- Keep a professional appearance and uphold the organization’s reputation at all times.
- Exhibit professional demeanor and appropriate decision-making in stressful situations.
- Must demonstrate effective communication skills and maintain good working relationships with employees, vendors, patients, and patient families.
- Knowledge and understanding of modern office practices and procedures.
- Strong grammatical/writing skills.
- Perform other duties as assigned
Expected hours: 32 per week
Benefits
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible spending account
- Health insurance
- Health savings account
- Paid time off
- Tuition reimbursement
- Vision insurance
- 8 hour shift
- 4 days a week.
Requirements
QUALIFICATIONS:
- College degree or degree of certification in medical/coding and/or two years billing experience.
- Knowledge and experience with private insurance, and palliative Care billing procedures.
- Excellent attention to detail, organizational skills, and confidentiality.
- Must be able to pass a driving records check (upon hire and annually), criminal background check, and drug screens (pre-employment and randoms).
- Must maintain automobile liability insurance.
College degree or Degree of Certification in Medical Coding (Required)
Experience
2 years (Required)