Job Description

Job Location: Cleveland County - Shelby, NC 28150

Position Type: Full Time

Travel Percentage: Negligible

Job Shift: Day

VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly we are proud to be a community based, not for profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people first organization whose funds go to serve our mission.

Due to our significant growth, we are looking for amazing new staff who share these same values. Apply now and be a part of our success story.

We provide excellent benefits including

• Medical, Vision, and Dental plans through BCBS
• 28 days of Paid Time Off
• Excellent mileage reimbursement rate
• 403b Retirement plan with matching
• Focused programs honoring Veteran patients
• Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
• Best Orientation and Onboarding program you’ve experienced
• Seasoned Hospice leaders guiding your career growth

Essential Functions

· Maintain positive relationships with facility billing staff. Respond timely and accurately to requests for information.

· Responsible for room and board workflows that verify a nursing facility patient’s eligibility for Medicaid pass through room and board.

· Enter information into the patient care system to ensure timely and accurate billing to Medicaid each month.

· Maintain the HART spreadsheets and reconcile those spreadsheets with the patient care system billing details before billing.

· Verify the PML for each patient each month and update in HART and the patient care system.

· Create and use monthly reports in preparation for billing.

· Posts the 5% contractual adjustment into the patient care system associated with Medicaid pass through room and board billing.

· Verify receipt of payment from Medicaid after billing has been completed.

· Research Medicaid denials and reach out to proper contacts, (inside/outside the organization) to get corrections needed for claims to be paid.

· Prices and codes nursing facility invoices for payment based on Medicaid payments received and what has been booked into liability schedules through the HART entry.

· Enters nursing facility invoices into accounting system A/P module (Stampli) for payment via check or ACH.

· Check pending Medicaid patients for retroactive coverage.

· Sort mail received at the Shelby office and route to the proper personnel.

· Maintain The Hospice Store log of receipts and prepare deposits to go to the bank.

· Other duties as required.

Qualifications

Minimum Qualifications

· Bachelor’s degree or the equivalent combination of education, technical certifications, training, or work experience. Working knowledge of

automated accounting systems. Computer skills in Microsoft Office are required.

· Minimum of 5 years’ working experience with billing in a healthcare facility.