Job Description

This is a full-time, hourly, non-exempt position

Schedule: Monday-Friday, 8am-5pm

This position is responsible for all aspects of agency billing including, but not limited to, preparing and submitting agency billing claims, and maintaining, researching and resolving receivables. This position is also responsible for performing prior authorizations. All job duties will be performed according to the organization’s policies and in full compliance with all applicable rules.

Essential Duties:

• Submits complete and accurate billing according to schedule and in full compliance with applicable rules and regulations, including services provided to Hospice Medicare Benefit (HMB) patients by staff physicians or nurse practitioners acting as attending
• Maintains an acceptable rate of aging accounts by regularly reviewing accounts, promptly following up on each account aged greater than sixty (60) days and notifying the CFO of any problem accounts.
• Responsible for timely Medicare and Medicaid notifications and verifications/authorizations.
• Verifies data integrity of all administrative and billing information entered into electronic medical records system on all hospice and palliative admissions.
• Coordinates ongoing authorization process to ensure that all required notifications have been recorded with the NC Division of Medical Assistance regarding approval for payment for Hospice Medicaid Benefit (HMdB) and Skilled Nursing Facility (SNF) patients with Medicaid as a room and board payer.
• Verifies patient status and acuity changes for all home care and facility
• Coordinates Medicare and Medicaid as secondary payer billing through communication with Billing and Coding Specialist.
• Keeps a current working knowledge of current reimbursement regulations regarding hospice services and educates staff regarding applicable regulations.
• Responsible for preparing and maintaining monthly Accounts Receivable report that is also presented quarterly to CFO.
• Responds to all incoming correspondence and phone calls related to collection on hospice/palliative accounts and requests for additional information in a prompt and courteous

Requirements:

• High School Diploma or GED
• Minimum of 2 years healthcare billing and accounts receivable experience required
• Valid NC driver’s license, reliable independent transportation, and current automobile liability insurance at limits required by the agency

Here are the things we find valuable for this role..

• Ability to be a detective!
• Knowledge of Medicare and Medicaid credits, collection and billing processes, computers and basic accounting functions
• Excellent verbal and written communication skills
• Excellent interpersonal and customer service skills
• Proficient in Microsoft Office Suite or related software
• Excellent organizational skills and attention to detail
• Ability to work independently and in a team environment

Here is what our employees have to say..

• This organization is one of a kind. From the top to bottom, there is respect, integrity, and kindness. Our leaders lead by example.
• I feel this organization does everything that it can to empower me to perform my role with as much autonomy as possible.
• Everyone who works here is focused on the mission of providing the best end of life care possible. This includes not just the clinical staff but also the support staff who are made to feel a part of the team.