Lead Home Health

3 weeks ago

Milwaukee, United States North Shore Healthcare Support Center Full time

#LI-AS1

Position: Lead Home Health & Hospice Billing Specialist

Location: Milwaukee, WI (This is not a remote role)

Salary: Up to $55k, based on experience/qualifications

* HOME HEALTH & HOSPICE BILLING EXPERIENCE REQUIRED*

Position Summary:

Performs billing related services for Home Health & Hospice programs, including the collection of Accounts Receivable, Notifications to Medicare, Medicaid, & Commercial Insurance.

Qualifications:

A High School diploma or GED and one (1) year experience in Medicare/Medicaid, and third-party claim processing, billing, and collections for both Home Health & Hospice. Must display an aptitude for attaining sufficient knowledge of the various billing, software, different insurance programs and contracts. Good customer service, phone etiquette, research, interpersonal and computer skills required.

Job Relations:

Reports to: Sr Director of Revenue Cycle Management

Main Duties and Responsibilities

* Responsible for timely and accurate billing of commercial, group insurance, Medicare, Medicaid, managed care, and self-pay home health and hospice accounts.
* Posts payments and remittance advices, reviews unpaid claims, and uses procedural guidelines to reduce outstanding balances in accounts receivable.
* Bills and electronically submits claims, performs consistent collection, and accounts receivables follow-up practices, processes payments, identifies appropriate write-offs, resolves credit balances, and responds promptly to payer correspondence.
* Submits Home Health & Hospice Notices of Election and Notices of Termination/Revocation and/or Notices of Admission to Medicare accurately and promptly.
* Posts payments and adjustments to accounts receivable as directed.
* Understands and ensures compliance with Home Health and Hospice billing rules, federal and state billing requirements, and payer contracted billing requirements.
* Sends patient statements for non-covered services, copays, and deductibles.
* Writes clear and logical appeal letters, gathers supporting documentation, and submits them to the appropriate insurance carrier appeals department via mail or online.
* Handles incoming patient correspondence, including scanning and indexing documents.
* Research alternate electronic means for filing claims, receiving Remittance Advices, and payments. Upon approval, completes registration and establishes procedures for maximizing electronic usage.
* Gathers statistical and financial data as requested for the preparation of various financial reports.
* Performs other duties as assigned.

We offer a comprehensive benefit packages which includes:

* Health insurance for full-time employees starting the first of the month following 30 days of employment


* Dental and vision insurance for full and part-time staff


* 401(K) Program for full and part-time staff


* 6 paid holidays plus one floating holiday for full-time staff
* Company paid life insurance for full-time staff


* Voluntary life and disability insurance for full-time staff


* Paid Time Off



New Rain Pay App

* On-demand pay app, allows you to transfer a portion of your paycheck before payday. You can borrow up to 50% of the pay you generated from the prior day(s) shift. The amounts borrowed are deducted from your checks each pay period.

Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each of the communities we serve. We understand that choosing where you want to go in your career is a big decision. We would like the opportunity to show you that North Shore Healthcare is the Right Choice for you.

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