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Billing Support Associate

4 months ago

Flat Rock, United States Four Seasons, The Care You Trust Full time
Job DescriptionJob Description

Are you looking for an incredibly REWARDING career?

Do you want to be a part of a culture that VALUES you?

Our Accolades.

Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina.

Our Benefits.Four Seasons offers an excellent benefits package for both full time and part time eligible employees, which may include:
  • Competitive Salaries, Reviewed Annually
  • Annual Operational Performance Bonus Opportunities
  • $0 Employee Premiums on Medical Insurance
  • Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care
  • Medical & Dental Insurance Benefits First of the Month after Hire
  • 403B Retirement Plan with Employer Match
  • Generous Paid Time Off Package- 20-29 Days of PTO Per Year
  • Up to 6 Paid Holidays
  • Employer Paid STD, LTD, & Life Insurance
  • Employer Paid Teletherapy & Telemedicine Coverage
  • Health & Dependent Care Flexible Spending Accounts
  • A Robust Employee Wellness Program
  • Up to $3k in Tuition Reimbursement Each Year


Billing Support Associate


Reports To: Director of Revenue Cycle Management

Status: Non-Exempt (Hourly)

FT, PT, PRN: Full-Time

Shift: 40 Hours per week; Monday - Friday, 8:00 am to 4:30 pm

Location: Flat Rock, NC - in office position

Pay / Salary Range: $18.00 - $22.00 per hour

Position Summary:

This position is responsible for performing and supporting accurate, timely and effective collection of all hospice and palliative patient accounts including insurance verification. Duties will also include being cross trained in all departmental areas of need of the Billing Department while demonstrating excellent customer service with both internal and external customers. The Associate must exhibit the technical competency, work ethic, attitude, discipline and communications skills required by Four Seasons to attain specified monthly, quarterly and fiscal year goals, and to work as part of a cohesive Billing Team.

Essential Duties & Responsibilities:

  • Claim denial management including correction, re-submission, authorizations until processed
  • Enter Hospice Medicaid Appeals into the appropriate system when needed
  • Cross Train and assist Billing Team with tasks/responsibilities during times of high volume and cover areas needed while others are on PTO
  • Communicate effectively with Billing Team members and other department staff members related to billing needs
  • Performs various duties as needed for Hospice Room & Board charges, including obtaining and recording monthly PML’s
  • Processing any returned mail for Billing Department
  • Evaluation of outstanding account balances for collection or financial write-off as needed
  • Issue patient statements and handling patient billing and collections activities including Estates
  • Serve as a resource and respond to patient accounting and billing questions from patients, responsible parties, staff, and all reimbursement sources
  • Assist with triaging Billing related phone calls including resolution of the callers needs.
  • Maintain adequate documentation related to patient account data
  • Create and document Best Practices of each billing area.
  • Verify benefits and completes patient eligibility, as needed
  • Billing of all claims for hospice and palliative care services to Medicare, Medicaid, Private Insurance and Private Utilize practice management system and other billing software tools as needed
  • Post payments and adjustments into patient accounts software as needed
  • Demonstrate excellent communications and customer service skills with patients, families, staff & vendors
  • Adhere to confidentiality regarding patients, families, staff and the organization
Knowledge, Skills & Abilities:

  • Insurance Verification
  • Claim filing and processing
  • Knowledge of HIPAA privacy policies
  • Excellent organization skills
  • Excellent written, oral, and collaborative communication skills
  • Excellent interpersonal skills
  • Excellent attention to detail and accuracy
  • Proficient in MS Office: Outlook, Word, Excel, etc.
  • Ability to work independently with minimum supervision
  • Ability to work under pressure to meet deadlines
  • Ability to take initiative and utilize innovative techniques
  • Ability to interact with various departments throughout the organization
  • Ability to participate as a team player
  • Ability to plan, prioritize and coordinate daily tasks
  • Honor, exhibit and respect the organizational values of: Compassion, Balance, Respect, Integrity, Teamwork, and Excellence
  • Perform other duties as requested by Billing Manager
Minimum Qualifications:

Education:

  • Associate’s degree in Healthcare, Business, or equivalent experience in a related field
  • Continuing education or professional development related to healthcare billing and administration, preferred

Experience:

  • 3 years of healthcare experience with Medicare Part A & B billing, Private Insurance, Private Pay preferred
  • Experience with computerized medical billing systems; Suncoast and/or Carecloud experience preferred

Licensures & Certifications: (if applicable)

  • Certified Professional Coder or Biller, preferred
Summary of Physical Requirements:

  • Ability to sit for prolonged periods of time; in excess of four hours per day
  • Constant use of hands to finger, handling, or feeling; reach with hands and arms; and talk; or hear
  • Ability to occasionally lift and/or move up to 10 pounds
  • Specific vision abilities required are close vision and distance vision with the ability to adjust focus, as needed
Intent & Function:

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals.

JOB DESCRIPTIONS ARE NOT INTENDED AS AND DO NOT CREATE EMPLOYMENT CONTRACTS. THE ORGANIZATION MAINTAINS ITS STATUS AS AN AT-WILL EMPLOYER.