Billing Specialist
2 days ago
We are seeking a highly skilled Billing Specialist to join our team at VITAS Healthcare. As a key member of our revenue cycle team, you will be responsible for ensuring timely and accurate billing of patient accounts.
Key Responsibilities- Meet established daily productivity standards and schedule and download daily bill job files and processes for transmittal.
- Research, correct, and re-submit rejected and denied claims, and monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner.
- Identify problem accounts and escalate as appropriate, and update the patient account record to identify actions taken on the account.
- Manage clearinghouse and payor accept/reject reports timely while ensuring all claim rejections are resolved within 72 hours of rejection occurrence.
- Log repetitive errors or exceptions and report them to management to ensure the admission record and related systems are properly updated and corrected.
- Coordinate with collectors and management to become familiar with the changing demands and requirements of payers in each state.
- Interact with other areas and departments to troubleshoot and resolve issues that may not have standard documented solutions.
- Provide support to the Collectors by producing timely, accurate and complete billing documents.
- Stay abreast of changes in all editing processes as may be required.
- Act as a resource for billing information and assist collectors and other staff members in producing any special documentation which may be required.
- Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.
- Understand and serve as a subject-matter expert for billing specifications and requirements of assigned payers and states.
- Understand Hospice Notice of Election (NOE) submission timing requirements and exceptions.
- Three to four years prior experience in a general office environment (accounting or billing experience in a healthcare environment preferred).
- Knowledge of insurance billing guidelines including Medicare, Medicaid, and other third party payers.
- Possess a full understanding of the health care collections and reimbursement process, and an in-depth knowledge of the insurance industry.
- Ability to work on various assignments simultaneously.
- Strong interpersonal skills within all levels of the organization.
- Ability to navigate within automated systems and proficiency in Outlook, Word, and Excel.
- Competitive compensation.
- Health, dental, vision, life, and disability insurance.
- Pre-tax healthcare and dependent care flexible spending accounts.
- Life insurance.
- 401(k) plan with numerous investment options and generous company match.
- Cancer and/or critical illness benefit.
- Tuition Reimbursement.
- Paid Time Off.
- Employee Assistance Program.
- Legal Insurance.
- Roadside Assistance.
- Affinity Program.
VITAS Healthcare is the nation's leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you'll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others.
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