Billing Coordinator

3 weeks ago

Cincinnati, United States Crossroads Hospice & Palliative Care Full time

Death is a meaningful experience.

Living the best life in our final moments requires caregivers who want to address fear and change the conversation to what is sacred.

Stewarding the end of life journey well requires an unwavering clinical skill set balanced by the art of compassion.

We believe compassion should not be a transaction. So we ask ourselves every day how do we do more . . . as caregivers, as a team, and as an organization.

We believe no one should die alone. So we put patients before profit to ensure a member of our team can be at the bedside.

Crossroads exists because the model of healthcare today is full of ultimatums rather than choices. Look, we understand this business is difficult. It's part of what drives us to stand up and find new ways to satisfy the heart of what drives our teams to do more.

If you've read this far and it resonates with you in any way, then we want to speak with you

Billing Coordinator Duties:

+ Obtain referrals and pre-authorizations as required for procedures

+ Check eligibility and benefit verification

+ Review patient bills for accuracy and completeness and obtain any missing information

+ Prepare, review, and transmit claims using billing software, including electronic and paper claim processing

+ Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid

+ Follow up on unpaid claims within standard billing cycle timeframe

+ Check each insurance payment for accuracy and compliance with contract discount

+ Call insurance companies regarding any discrepancy in payments if necessary

+ Identify and bill secondary or tertiary insurances

+ All accounts are to be reviewed for insurance or patient follow-up

+ Research and appeal denied claims

+ Answer all patient or insurance telephone inquiries pertaining to assigned accounts

+ Set up patient payment plans and work collection accounts

+ Update billing software with rate changes

Billing Coordinator Requirements:

+ High school diploma

+ Knowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred

+ Minimum of 1 to 3 years of experience in a medical office setting

+ Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems

+ Knowledge of accounting and bookkeeping procedures

+ Knowledge of medical terminology likely to be encountered in medical claims

+ Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds

+ Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

Shift: 8:30 AM to 5:00 PM

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