Billing Coordinator

3 weeks ago

Cartersville, Georgia, United States Affinis Hospice Full time
Job Summary

We are seeking a highly skilled and detail-oriented Billing Coordinator to join our team at Affinis Hospice. The successful candidate will be responsible for providing billing and collections functions in accordance with current federal, state, and local regulations that govern hospice agencies.

Key Responsibilities
  • Process monthly hospice billing/charges to the appropriate pay sources and responsible parties each month for the previous month's charges.
  • Process daily hospice billing/charges to the appropriate pay sources and responsible parties.
  • Oversee the process for visit authorizations for private insurance patients, including reconciliation of the actual visits done vs. what was initially authorized and communicate the variance to the appropriate persons.
  • Communicate with patients, clients, responsible parties, insurance companies, Medicare, Medicaid, billing company, and others in order to collect outstanding receivables due.
  • Demonstrate knowledge and compliance with rules and regulations regarding Medicare, Medicaid, and private insurance.
  • Research accounts receivable open items, denial, partial payments on a monthly basis and take necessary measures to collect monies due from appropriate sources.
  • Develop working relationships with hospice associates regarding accurate data entry to ensure clean claim submission, including but not limited to communication with leadership, office staff, and clinicians.
  • Process and analyze claims reports on a daily basis, identifying exceptions and working collaboratively to reconcile and resolve all outstanding issues.
  • Oversee the process for hospice admissions, including verification of benefits, accuracy of initial data entry, pre-certification, and/or authorization for services.
  • Communicate RTPs to appropriate persons and resolve these in collaboration with the associates of the respective organizations.
  • Work with administrators to ensure systems are updated as needed to reflect appropriate codes, charges, pay sources, and accounts receivable to ensure compliance and correct billing.
  • Establish systems for the orderly receipt of remittance advices, explanation of benefits, and responsible party payments.
  • Consult with administrators and operations concerning billing & collections department to assist in eliminating/correcting problem areas and/or improving processes.
  • Comply with the organization's Compliance, Privacy & Security programs.
  • Promote the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
  • Contribute to the work of committees, workgroups, project management, and other collaborative efforts of the System.
  • Perform other duties as necessary to ensure the success of the System.
Requirements
  • A high school diploma is required with a minimum of two (2) years of experience in home health billing and collections.
  • Initial proficiency with Microsoft Outlook, Microsoft Excel, Microsoft Word, and Electronic Health Record.

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