Director of Hospice Billing
2 weeks ago
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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