Director of Hospice Billing

2 weeks ago

Oklahoma City, United States Good Shepherd Hospice Full time
Job DescriptionJob DescriptionDescriptionGood Shepherd Hospice, is seeking a full-time, experienced Hospice Director of Billing for our corporate office in Oklahoma City.  This position is responsible for leading and planning the billing operations for the billing department. The individual is responsible for implementing and enforcing policies and procedures, as well as streamlining effective billing processes across multiple locations. The position is highly visible and requires a strong leader with the ability to prioritize, plan, and direct the department. 

Our ideal candidate should have:
  • Experience in Part A and B Medicare
  • Experience Billing Hospice & Palliative Care Medicaid and Commercial claims 

Key Responsibilities
  •  Monitor and maintain assigned accounts.
  • Collect all the necessary information to prepare Medicare claims. 
  • Understand Hospice NOE submission timing requirements and exceptions. 
  • Verify proper patient Certification, Election and Revocation requirements. 
  •  Establish proper treatment of Hospice Transfer patients and overlap with other hospice agencies including communication with office staff and transferring agencies. 
  • Submit clean claims to Medicare electronically within a timely file and payer guidelines. 
  • Research, correct and re-submit rejected and denied claims. 
  • Identify ADR claims and follow up on appeals to ADRs and Medical Reviews. 
  • Answer questions from patients, clerical staff and insurance companies. 
  • Interpret and process Explanation of Benefits when needed. 
  • Provide support and training to branches and other billing staff. 
  • Make outbound collection calls in a professional manner, while keeping and improving customer relations. 
  • Process and review account adjustments, balance write offs and account reconciliations. 
  • Communicate Medicare denials and short pay trends 

Skills Knowledge and Expertise
  • Experience in Part A and B Medicare, Medicaid and Commercial claims billing for hospice and palliative care.
  • Must be a fast learner, proficient with computers, detail oriented, and ability to work with deadlines. 
  • Excellent communication skills and the ability to interact well with diverse individuals. (Insurance companies, third party vendors, patients/family members, nursing homes, Medicare, Medicaid, and fellow employees at branch offices.) 

Benefits
  • Paid Holidays 
  • Health, Dental, Vision, and Life Insurance 
  • 401K Investment Plan with employer matching program  
  • 3 Weeks Paid time off based off hours accrued  
  • Education Fund 

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