Medical Billing Specialist - Willowbrook Hospice

Hospice Medicaid Billing Specialist

Job description

The Billing Specialist is responsible for the coordination of the Company’s billing functions in accordance with state, federal, and local regulations.

Qualifications

• High school diploma or equivalent

• Experience in a medical-related field (preferably Home Health/Hospice)

• EMR/Software: HomeCare Home Base, Availity, Waystar/medical claims clearinghouse

• Excellent attention to detail and accuracy in data entry

• Strong organizational and time management skills

• Effective communication skills, both written and verbal

• Ability to work independently and as part of a team

• Self-starter and highly resourceful

• Knowledge of office machines, excellent computer skills, proficient in Microsoft Office Software, excellent interpersonal and organizational skills

• Knowledge of billing and CMS regulations

• Experience in making outbound calls to payors for payment resolution or collections purposes

• Problem-solving and critical thinking skills to identify and correct claim issues

• EMR experience: HCHB or other electronic medical record experience

• Math: Strong mathematical skills for calculating remittances, payments, and reconciling accounts

• Foundational knowledge of Home Health/Hospice Medical Billing

• Medical billing: Familiarity with medical billing processes, claims submission, and claim denials

• Transportation: Reliable transportation

• Valid and current auto insurance

• Must be able to work under stressful conditions and time constraints of the agency or projects

• Work requires sitting for long periods of time, bending, and stretching for files and office supplies

• May occasionally require lifting files or paper weighing up to 30 pounds

Responsibilities

• The Billing Specialist is responsible for the coordination of the Company’s billing functions in accordance with state, federal, and local regulations

• Works in a variety of settings and office environments, promoting functioning and coordination with all company activities to insure the highest level of professional care

• Ensure all documents are present within electronic medical record and submitted timely and accurately according to Medicare standards

• Collaboration with service location contacts, third party institutions and other team members to resolve billing inconsistencies and errors

• Ensuring accurate and timely submission of claims, understanding, and interpreting guidelines of various insurances and payors

• Staying up to date with insurance/payors regulations to maintain compliance and prevent potential issues

• Accurate and comprehensive documentation of billing activities in EMR, ensuring transparency and accountability

• Efficiently managing accounts receivable, pursuing unpaid balances

• Resolving billing and collection issues and discrepancies swiftly and effectively

• Continuously monitor billing and collection activities, identifying potential issues, discrepancies, and trends

• Ensure that any billing discrepancies, collection concerns, or potential issues are promptly communicated to the Billing Manager, allowing for proactive resolution

• Other tasks as assigned by management

• Ensure compliance with local, state and federal regulations and the agency’s policies and procedures

Subject to employee eligibility, some benefits, tools, and resources include:

• Generous time off with pay for full-time employees

• 401(k) plan for eligible employees

• Insurance plans for medical, dental, and vision coverage for full-time employees

Equal Opportunity Employer 

Job Type: Full-time Schedule: •  Bonus pay 

Work Location: North Metro Atlanta