Billing Specialist

Homestead Hospice Roswell , GA 30076

Posted 2 months ago

Job Summary:

This position is responsible for submitting claims and following up with Medicare contracts, state Medicaid program, and private insurance companies. The Billing Specialist is also responsible for collecting, posting, and managing account payments.

Qualifications:

  • Some College preferred, High School Diploma or GED required.

  • One (1) Three (3) years experience in Medical Billing collection practices required. Previous experience with Hospice is desirable.

  • Knowledge of Medical Billing accounts receivable program desirable.

  • Knowledge of business office procedures.

  • Knowledge of basic medical coding and third-party operating procedures and practices.

  • Ability to operate a computer and basic office equipment.

  • Skill in answering a telephone in a pleasant and helpful manner.

  • Ability to read, understand, and follow verbal and written instructions.

  • Ability to establish and maintain effective working relationships with patients, employees, and the public.

  • Must be well organized and detail-oriented.

Responsibilities:

  • Verifies eligibility to determine primary, secondary, and tertiary payer if applicable.

  • Reviews and validates monthly pre-billing reports.

  • Reconciles census and Hospice level of care reports with claim data.

  • Updates billing system as needed to maintain integrity of billing data entered.

  • Prepares and submits claims either electronically or by paper.

  • Responds to questions from patients, clerical staff, and payers.

  • Identifies and resolves patient billing complaints.

  • Prepares, reviews, and sends patient statements, if applicable.

  • Prepares, reviews, and sends facility room and board statements, if applicable.

  • Reviews and validates patient care invoices received from outside suppliers.

  • Evaluates patient's financial status and establishes budget payment plans.

  • Follows and reports status of delinquent accounts.

  • Reviews accounts for possible write off or assignment to collection agency.

  • Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

  • Prepares monthly and year-to-date billing reports.

  • Maintains strictest confidentiality and adheres to all HIPPA guidelines/regulations.

  • Performs other duties as assigned. Responsibilities, skills and working conditions may change as needs evolve.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Billing Auth Rep WOC HB

Wellstar Health System, Inc.

Posted 1 week ago

VIEW JOBS 1/12/2020 12:00:00 AM 2020-04-11T00:00 Overview At WellStar, we all share common goals. That's what makes us so successful – and such an integral part of our communities. We want the same things, for our organization, for our patients, and for our colleagues. As the most integrated healthcare provider in Georgia, this means we pride ourselves on investing in the communities that we serve. We continue to provide innovative care models, focused on improving quality and access to healthcare. Responsibilities Responsible for accurate and timely insurance pre-certification and re-certification of wound care procedures and hyperbaric treatments. Reviews documentation in the medical record and accurately and completely assigns appropriate diagnostic and procedural ICD-9-CM and /or CPT-4 HCPCS codes to the greatest specificity. Completes audits for all patient accounts as assigned. Qualifications Billing Authorization Rep - North Fulton Full Time - Days Required Minimum Education: Bachelor's Degree strongly preferred. Will consider Associate's degree plus 5 years relevant experience. Required Minimum Licensure/Certification: Billing or coding certification strongly preferred. Certifications include but not limited to Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) , or Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA.) Required Minimum Experience: 2-3 years of experience in medical practice or hospital billing/coding. Required Skills: Computer skills essential. Medical terminology including coding needed (CPT, ICD, and HCPCS) Knowledge of insurance filing and requirements. Strong verbal and written communication skills. Must be able to communicate and understand verbal and written English language and display a positive attitude. Options Wellstar Health System, Inc. Roswell GA

Billing Specialist

Homestead Hospice