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Insurance Billing Coordinator
2 months ago
Position Summary:
The role involves conducting insurance benefit validations and managing authorizations for services rendered to patients. This position also encompasses the billing cycle from charge generation to month-end reconciliation for two distinct service areas. Responsibilities include following up on pending claims and addressing issues related to collection efforts. Collaboration with other roles within the Finance department is essential.
Key Responsibilities:
- Insurance Benefit Validations: Conduct benefit checks for Home Health and Hospice admissions.
- Authorization Management: Secure authorizations for Home Health and Hospice admissions. Maintain an authorization tracking document to monitor visit counts and authorization periods by discipline, and follow up for additional authorizations as necessary. Oversee visit data and Physician Orders to ensure proper authorizations are secured.
- Submission of Notices: Manage the submission of Home Health's Notice of Admission (NOA) and Hospice Notice of Election (NOE) within the mandated timeframe.
- Billing Operations: Execute billing for Hospice and Home Health services: generate charges, record payments and adjustments, print claims, and submit both paper and electronic claims. Follow up on all outstanding claims and document collection activities in the billing system.
- File Maintenance: Organize and maintain all billing documentation and month-end close reports systematically.
- Aging Report Review: Analyze the Aging Report and perform necessary follow-ups to resolve payment delays.
- Data Verification: Review patient demographic information for all Hospice and Home Health admissions to ensure accuracy and currency.
- Benefit Letter Preparation: Draft and dispatch Home Health benefit letters for new admissions.
- Data Entry: Conduct data entry and adjustments of physician information in the back office.
- Month-End Reconciliation: Carry out the month-end close process for Hospice and Home Health Accounts Receivable, which includes generating and posting charges, auditing accounts, recording adjustments and payments, printing reports for accuracy, reconciling financial data, and updating the general ledger.
