Healthcare Billing Coordinator

2 weeks ago


Hanover, Pennsylvania, United States VISITING NURSE ASSOCIATION OF HANOVER AND SPRING GROVE INC Full time
Job Overview

Position Summary:

The Billing Specialist is responsible for executing insurance benefit verifications and securing authorizations for services provided to patients. This role encompasses the entire billing process, from charge generation to the completion of month-end financial activities for two distinct service lines. The specialist will also follow up on pending claims and address any issues that arise during collection efforts. Collaboration with other roles within the Finance department is essential.

Key Responsibilities:

  1. Insurance Benefit Verification: Conduct thorough benefit verifications for Home Health and Hospice admissions.
  2. Authorization Management: Acquire necessary authorizations for Home Health and Hospice admissions. Maintain an authorization tracking system to monitor visit counts and authorization periods by discipline, ensuring timely follow-ups for additional authorizations as required.
  3. Submission of Notices: Manage the submission of the Home Health Notice of Admission (NOA) and Hospice Notices of Election (NOE), adhering to the mandated submission timeframe.
  4. Billing Processes: Execute billing for Hospice and Home Health services, including charge generation, payment entry, claims printing, and submission of both paper and electronic claims. Ensure diligent follow-up on all outstanding claims and document collection efforts within the billing software.
  5. File Management: Organize and maintain all billing files and month-end closing reports systematically.
  6. Aging Report Review: Analyze the Aging Report and perform necessary follow-ups to resolve any issues delaying claim payments.
  7. Data Verification: Review patient demographic information for all Hospice and Home Health admissions to ensure accuracy and currency.
  8. Benefit Letter Preparation: Prepare and dispatch benefit letters for new Home Health admissions.
  9. Data Entry: Conduct data entry and modifications of physician information in the back office.
  10. Month-End Closing: Oversee the month-end closing process for Hospice and Home Health Accounts Receivable, which includes generating and posting charges, auditing accounts, posting adjustments and payments, and reconciling discrepancies.


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