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Revenue Cycle Coordinator

5 months ago

Dallas, United States Forefront Living Full time

Overview:

Faith Presbyterian Hospice

Revenue Cycle Coordinator - Hospice

Responsibilities:

ESSENTIAL DUTIES:
Models a service attitude towards others, takes ownership in solving problems and takes the initiative to make things better, is friendly and courteous to residents, patients and co-workers
Maintains accurate daily census reporting
Ensure Certifications are signed by Physicians and confirm the certification and recertification days are correct and complete in the Hospice billing software
Ensure Notice of Elections are sent to Medicare before the five day cutoff period
Perform all aspects of private pay collections including, but not limited to, mailing statements, sending letters, making phone calls, attending weekly AR meeting to discuss unpaid accounts, processing balance refunds, posting adjustments and write offs, collections and appropriate follow-up with all questions related to private pay billing statements
Work with various skilled nursing facilities and MDS Coordinators to verify resident levels
Confirm Medicaid room and board rates and Applied Income into Hospice billing system on a monthly basis
Confirm accuracy of nursing facility and hospital payments and contact if necessary (Medicaid room and board); Access TMHP to pull MESAVE and synchronize with billing
Collaborate with Intake /Admissions department to clear error report in Hospice billing system
Team with Admissions to ensure insurance verification and room and board is set-up correctly
Communicate all insurance correspondences to the billers
Team with Admissions to verify patient responsibility
Generate an accurate month end pharmacy census by patient report to send to appropriate pharmacy and upload the pharmacy file into the Hospice billing system
Serve as in-house expert for Hospice billing software and provide user support as needed
Create monthly invoices for Physician Billing and Palliative Care Program
Scan deposits and/or take cash and other monies to bank as needed
Track cash deposits and submit daily activity to the biller
Handle and interpret A/R billing questions and assist with A/R reports as assigned
Assist biller with researching and reconciling past due balances as necessary
Perform month end close procedures timely and accurately
Review month-end prebilling for accuracy and completeness
Maintain all information in billing software to ensure all revenue generated is accurate
Keep current with changing needs and requirements of hospice by attending continuing education courses and reading related periodicals
Cross-train with other positions in Accounting to provide coverage and understand overall functions of department
Act as vendor and facility contracts liaison to monitor and maintain up-to-date contracts
Other duties as assigned

Qualifications:

MINIMUM QUALIFICATIONS:
Associate's Degree in Accounting or 2-4 years previous billing experience, as well as knowledge of collection procedures
Experience in hospice billing: Medicare, Medicaid, Insurance, and Private Pay insurance related to hospice preferred
Experience in computerized accounting systems, standard software (e.g. Excel, Word, PowerPoint, Outlook), and general computer usage
Experience with hospice billing software
Excellent verbal and written communication skills, including ability to read, write, and speak English
Ability to prioritize and balance competing projects/tasks in a demanding, fast-paced environment
Maintains pleasant, caring, and compassionate demeanor in stressful situations
Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff
Ability to understand and explain A/R billing statements to all concerned
Self-starter with aptitude for following through on details and resolving discrepancies
Ability to perform Essential Duties as outlined below
Ability to perform work tasks within the Physical Demand Requirements as outlined below
Ability to comply with the Patients Bill of Rights and the Employee Responsibilities
Ability to comply with organizational and departmental safety policies and procedures