What are the responsibilities and job description for the Medical Billing Specialist position at VIA Health Partners?
VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly we are proud to be a community based, not for profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people first organization whose funds go to serve our mission.
Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.
We provide excellent benefits including:
- Medical, Vision, and Dental plans through BCBS
- 28 days of Paid Time Off
- Excellent mileage reimbursement rate
- 403b Retirement plan with matching
- Focused programs honoring Veteran patients
- Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
- Best Orientation and Onboarding program you’ve experienced
- Seasoned Hospice leaders guiding your career growth
Essential Functions
- Claims Processing and Review
- Makes necessary corrections and/or additions to patient records as needed in accordance with organizational policies (i.e. level of care changes, location changes, payer source changes).
- Enters physician and nurse practitioner visits & charges into the patient care system.
- Ensures that all miscellaneous charges are included on claims (i.e. consulting physician charges).
- Reviews all claims for accuracy & coordinates with other departments to resolve any issues prior to claims submission.
- Generates UB-04 and/or HCFA 1500 claims and submits claims to Medicare, Medicaid, & all third-party payers.
- Enters claims in Insurance Providers Online Systems or mails claims as necessary.
- Corresponds with Medicare, Medicaid & all third-party payers regarding claims status and resolution of any unpaid/denied claims.
- Assists with preparation of monthly billing, cash reconciliation, and revenue reporting.
- Assists with verification of Medicare & Medicaid eligibility as needed.
- Assists with obtaining Commercial Insurance Authorizations as needed.
- Responds knowledgeably to inquiries from patients, physicians, and insurance companies regarding reimbursement questions.
- Accounts Receivable Review
- Reviews aging report regularly and follows-up on outstanding claims
- Coordinates with other financial and clinical team members as needed to resolve outstanding claims issues.
- Reviews report prepared by A/R Specialist of items to be billed to secondary payer (including self-pay) and submit secondary claims as needed.
- Prepares write-offs for submission to A/R Specialist after all applicable collection efforts exhausted.
- May perform other duties as required.
Qualifications:
Minimum Qualifications
- Associate degree in a related technical discipline, or the equivalent combination of education, technical certifications, training, or work experience.
- Minimum of 4 years working experience in billing, insurance accounting and/or accounts receivable procedures in a healthcare facility.
- Computer efficiency in Microsoft Office Suite required.