Home Health & Hospice Billing Specialist

Westminster-Canterbury on Chesapeake Bay is currently hiring a Full Time Home Health & Hospice Billing Specialist.

Schedule: 8:30am - 5:00pm, Monday through Friday.

Our Full-Time employees are eligible for Medical, Dental, and Vision Benefits on the FIRST day of employment!

WHAT YOU WILL DO:

Performs a variety of advanced duties involved in the billing and collections for skilled Home Health Care, Home Care, and Hospice services provided by Westminster-Canterbury and partners in accordance with established procedures and regulations. Files accurate medical claims on a timely basis to Medicare, insurance companies, and responsible parties. Maintains an accurate accounting of insurance billing, payments, etc. Assists patients and responsible parties with questions and concerns regarding their accounts.

• Enters information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Insures claim information is complete and accurate

• Prepares bills/data for all pay sources, fulfilling individual requirements for each pay source in order to bill accurately. Adjusts any billing/data errors found on bill in a timely manner.

• Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper UB04/HCFA 1500 forms. Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.

• Responds to inquiries regarding all pay sources and verifies client coverage accurately and timely. Identifies customer needs and responds to all customer inquiries/needs in a timely manner, ensuring a high level of customer satisfaction.

• Processes month-end billing and reports and prints them (bills and reports) for all pay sources, ensuring that each pay source is processed separately and in a timely manner. Produces demand bills if required.

• Fulfills individual requirements for processing and transmitting NOAs or NOEs and claims on an immediate and daily basis and confirms that transmission has been received by the MAC. Enters all contractual adjustments by the end of month closing including the impact of LUPAs, PEPs, and other contractual or manual adjustments.

• Posts cash receipts to patient accounts; reviews remittance advises to confirm that expected payment was received; and follows up with payer and re-bills claims not paid or incorrectly paid.

• Reports credit balances and overpayments to pay source immediately. Records claims denials, investigates reasons, and re-bills, if possible. Enters cash receipts and accurately reconciles cash entry in a timely manner.

• Collects accounts receivable from all pay sources. Call pay sources to collect accounts receivables in a timely manner, documenting on call sheet. Follows up with all unanswered claims.

• Compiles the aged trial balance within one week of month end close, or as otherwise directed, following up on outstanding balances and taking necessary action to resolve the balance.

• Remains current on changes in billing requirements of the intermediary and other pay sources and changes in the billing software programs.

• Handles all data confidentially and in compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations.

• Serves as department liaison to Home Health partners.

• Performs other duties as requested, including temporary assignments/rotations

WHAT YOU WILL NEED TO BE SUCCESSFUL:

• Minimum one year of medical billing experience required, preferably Home Health or Hospice billing with an emphasis on Medicare and Commercial payers

• Medical terminology, ICD-10, and CPT

• Knowledge of general medical recordkeeping procedures

• Demonstrated proficiency in Microsoft and Google applications Demonstrated proficiency in Allscripts or similar software.

• Demonstrated ability to prioritize tasks and meet fixed deadlines.

• Demonstrated ability to effectively communicate in writing and verbally with residents, responsible parties, staff, and pay source representatives

• Demonstrated ability to establish and maintain effective working relationships with team members, residents, other agencies, and partners.

• Must be willing to work overtime to meet billing deadlines, if needed.

PHYSICAL REQUIREMENTS:

• Sedentary work in an office environment: must be able to perform computer work for six to eight hours per day, either standing or sitting.

• Must be able to file and retrieve documents from filing cabinets and storage area, and lift/carry and maneuver and maneuver boxes/files weighing up to 25 pounds.