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Home Health and Hospice Billing Specialist

1 month ago

Lebanon, Pennsylvania, United States Otterbein SeniorLife Full time
Job Summary

We are seeking a highly skilled Home Health and Hospice Billing Specialist to join our team at Otterbein SeniorLife. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing for all Home Health and Hospice services.

Key Responsibilities
  • Maintain current knowledge of industry compliance, including new regulations, conditions of participation, and third-party insurance billing requirements.
  • Perform all aspects of billing for all payers, including electronic billing and claims follow-up/resolution, private pay statements, and insurance verifications.
  • Submit timely notices of elections and admissions for the respective ministries.
  • Support partners on basic business office and billing functions, enabling them to assist with their assigned duties regarding patient accounts and billing.
  • Run monthly benefit verifications and MITS checks for all patients to identify changes in case coverage, enrollment in managed care plans, liability, LTC facility placement, restricted coverage periods, and status of waiver or nursing home benefit assignment.
  • Take all necessary actions on accounts to update, adjust claims, and notify partners.
  • Assist in making retroactive payer changes, process adjustments as required, and coordinate/communicate regarding impacts on prior period revenue recognition.
  • Collaborate with clinical staff for the completion of clinical assessments, charge import posting, and clearing invoice errors to produce invoices for submission.
  • Assist with month-end close procedures, including cash posting, adjustment posting, cash reconciliation, ancillary uploads, and reporting as requested.
  • Post cash receipts daily to maintain current up-to-date AR balances and process necessary adjustments concurrent with cash posting and zero balance or zero paid remittances.
  • Monthly review of accounts receivable aging reports and follow-up on past due balances through to completion and appropriate payment processing.
  • Communicate with partners and/or families regarding receivable balances in a clear, respectful, customer service-oriented manner.
  • Investigate credit balances monthly and process refunds and adjustments as needed in accordance with department procedures, reviewing all open AR balances.
  • Maintain customer confidentiality in accordance with all HIPAA regulations.
  • Support the mission and high standards of customer service as it pertains to both internal customers, external customers, and partners of Otterbein SeniorLife.
  • Cross-train with other positions within the department to provide coverage, support, and understanding of overall functions.
  • Maintain monthly billing logs and distribute for leadership reporting.
  • Other duties as assigned.
Requirements
  • Strong communication skills (verbal and written) to communicate with coworkers, families, and outside vendors to obtain needed information and provide support to effectively prepare accounts for the billing process and resolve billing issues.
  • Above-average understanding of the full billing process from point of care to payment collection.
  • Strong critical thinking/decision-making skills to make informed decisions on how to proceed with billing concerns and issues.
  • Positive customer service attitude towards others by taking ownership in problem-solving and taking initiative to research and resolve billing issues.
  • Ability to communicate positively, effectively, and appropriately with elders, families, leadership, clinical staff, and other partners.
  • Ability to understand and explain complex accounts receivable and revenue cycle questions.
  • Ability to manage multiple priorities to meet the needs of our customers and achieve department timelines and goals.
  • Ability to work independently without supervision.
  • Detail-oriented, especially to identify and resolve billing discrepancies and/or questions.
Qualifications
  • Education: Associate's degree in accounting, business administration, or equivalent experience is required.
  • Experience: Minimum 5 years of billing experience required and knowledge of Medicare, Medicaid, managed care, private pay, MyCare Ohio, supplement plans, and other payers in the home health and hospice environment.
  • Computer skills: Computerized account systems, Microsoft Excel, and Point Click Care or other similar billing software.
  • Prior experience in the long-term care setting preferred. Supervisory and training experience of business office and billing process preferred.
Benefits
  • Medical insurance with free virtual doctor visits.
  • Vision and dental insurance.
  • Paid time off that accrues immediately.
  • Paid holidays.
  • Life insurance.
  • Retirement savings with a 401(k) or 403(b) with company match.
  • Get access to 50% of your wages before payday through PayActiv.
  • Employee-sponsored fund for employees in need.
  • Employee Assistance Program (EAP).
  • Tuition assistance.

Some benefits are based on hours worked.

Why work for Otterbein SeniorLife?

For more than 100 years, Otterbein has provided senior housing options rooted in respect and community. We're a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents.

Otterbein SeniorLife consists of lifestyle communities, revolutionary small house neighborhoods, home health, and hospice care in Ohio and Indiana. We offer different lifestyle options for seniors through independent living, assisted living, skilled nursing, rehab, memory support, respite care, in-home care, and hospice services.

Apply today and begin a meaningful career as a Home Health and Hospice Billing Specialist at Otterbein.