East Tennessee Children's Hospital Knoxville , TN 37902
Posted 2 weeks ago
BASIC PURPOSE OF THE JOB
Ensures accurate billing and collection of Home Health receivables. Reviews accounts to ensure payments from contracted payers are correct. Ensures collection of payment variances. Works closely with families and home health staff to address questions/concerns and ensures proper insurance coverage for child. Ensures clean claims and timely follow up with insurance companies
REPORTS TO
JOB REQUIREMENTS
Supervisory Responsibilities: NO
Minimum Education: High School Diploma/GED
Degree: General
License/Certification Required: None
Minimum Work Experience: Home Health billing and collection experience preferred.
REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES
Excellent customer service skills and ability to work well with a team required.
Familiar with rules and regulations of CMS and third party payers to ensure proper collection of insurance data to finalize claims for proper billing to proper payer on first time claim submission.
Ability to work with insurance companies to ensure timely payment of claims.
Problem solving skills required.
Strong computer skills required
DUTIES AND RESPONSIBILITIES
Processes all bills from Infusion System and Meditech System correctly
Follows up on account collection status as appropriate
Posts payments/adjustments to appropriate account and system daily once received
Works all insurance denials in a timely manner and on the day that they are received
Documents accounts properly
Provides examples for teachable moments for registration staff and coworkers
Works effectively with UM, Medical Records and ancillary department staff to ensure a seamless process flow between departments and the revenue cycle
Creates team environment with other departments to problem solve issues
Maintains professional composure and confidence during stressful situations
Maintains confidentiality of all hospital and patient information at all times as observed by management and peers
Patient/Family Complaints are handled in a confidential, timely and professional manner
Continuously displays a "can do" attitude within the department and across department lines to contribute to the overall focus on service excellence at the hospital
Identifies problems, offers solutions, and communicates with Management as needed
Willingly accepts any other assignment that may be requested
Works as efficiently as possible to ensure best use of time in account short staffed for the day, major problems with billing etc.
PHYSICAL REQUIREMENTS-Note: Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position.
Come work where you can make a difference everyday.
East Tennessee Children's Hospital