- Benefit Verifications: Perform benefit verifications for Home Health and Hospice admissions.
- Obtain Authorizations for Home Health and Hospice admissions. Maintain the auth tracking form to track visit counts and beginning and ending dates of authorizations by discipline and perform follow-up to obtain additional authorizations as needed. Monitor visit data and Physician Orders in the back office to assure proper authorizations are obtained.
- Submission of Home Health's NOA (Notice of Admission) and Hospice NOEs (Notice of Election): Monitor Home Health and Hospice admissions and enter NOAs and NOEs with CMS-mandated timeframe of 5 days.
- Perform Hospice and Home Health billing: Generate charges, enter payments and adjustments, print claims, submit paper and electronic claims, perform follow-up on all outstanding claims, document collection efforts in the billing software.
- Maintain all billing files and month-end close reports in an orderly and organized manner.
- Review Aging Report and perform all necessary follow-up to resolve issues that are holding up payment of claims.
- Review patient demographic data for all Hospice and Home Health admissions to verify data is accurate and up to date.
- Prepare and send Home Health benefit letters for new admissions.
- Perform data entry and editing of physician data in the back office.
- Perform month-end close process for Hospice and Home Health Accounts Receivable including generating and posting charges; auditing accounts; posting adjustments and payments; printing reports and reviewing for accuracy; reconciling charges and payments; and posting to the general ledger.
- High School graduate or equiv.
- Associate degree in accounting related field desired.
- A minimum two years of experience in insurance authorization and medical billing is required.
- Ability to work with a high attention to detail and multitasking.
- Ability to understand policies and programs of the Agency.
- Ability to understand and practice principles of confidentiality.
- Proficiency in MS Office (especially Excel); familiarity with databases and financial software.
- Must be licensed driver with automobile that is insured in accordance with Agency requirements.
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Billing Specialist - Hanover, United States - VISITING NURSE ASSOCIATION OF HANOVER AND SPRING GROVE INC
2 weeks ago
Description
Job Description
Job DescriptionWe are looking for a detail-oriented Billing Specialist to join our finance team.
Performs insurance benefit verifications and completes authorization for services for patients referred to the VNA. Additionally, this position also performs the billing process from generating charges to month-end close for two service lines. This includes following up on outstanding claims and resolving issues for collection efforts. Cross-training with other positions and/or duties in the finance department is required.
Primary Duties:
Qualifications:
