- HOME HEALTH & HOSPICE BILLING EXPERIENCE REQUIREDPosition Summary:Performs billing related services for Home Health & Hospice programs, including the collection of Accounts Receivable, Notifications to Medicare, Medicaid, & Commercial Insurance.
- Responsible for timely and accurate billing of commercial, group insurance, Medicare, Medicaid, managed care, and self-pay home health and hospice accounts.
- Posts payments and remittance advices, reviews unpaid claims, and uses procedural guidelines to reduce outstanding balances in accounts receivable.
- Bills and electronically submits claims, performs consistent collection, and accounts receivables follow-up practices, processes payments, identifies appropriate write-offs, resolves credit balances, and responds promptly to payer correspondence.
- Submits Home Health & Hospice Notices of Election and Notices of Termination/Revocation and/or Notices of Admission to Medicare accurately and promptly.
- Posts payments and adjustments to accounts receivable as directed.
- Understands and ensures compliance with Home Health and Hospice billing rules, federal and state billing requirements, and payer contracted billing requirements.
- Sends patient statements for non-covered services, copays, and deductibles.
- Writes clear and logical appeal letters, gathers supporting documentation, and submits them to the appropriate insurance carrier appeals department via mail or online.
- Handles incoming patient correspondence, including scanning and indexing documents.
- Research alternate electronic means for filing claims, receiving Remittance Advices, and payments. Upon approval, completes registration and establishes procedures for maximizing electronic usage.
- Gathers statistical and financial data as requested for the preparation of various financial reports.
- Performs other duties as assigned.
- Health insurance for full-time employees starting the first of the month following 30 days of employment
- Dental and vision insurance for full and part-time staff
- 401(K) Program for full and part-time staff
- 6 paid holidays plus one floating holiday for full-time staff
- Company paid life insurance for full-time staff
- Voluntary life and disability insurance for full-time staff
- Paid Time Off
- On-demand pay app, allows you to transfer a portion of your paycheck before payday. You can borrow up to 50% of the pay you generated from the prior day(s) shift. The amounts borrowed are deducted from your checks each pay period.
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Lead Home Health - Milwaukee, United States - North Shore Healthcare Support Center
Description
#LI-AS1Position:
Lead Home Health & Hospice Billing Specialist
Location:
Milwaukee, WI (This is not a remote role)
Salary:
Up to $55k, based on experience/qualifications
Qualifications:
A High School diploma or GED and one (1) year experience in Medicare/Medicaid, and third-party claim processing, billing, and collections for both Home Health & Hospice.
Job Relations:
Reports to:
Sr Director of Revenue Cycle Management
Main Duties and Responsibilities
We offer a comprehensive benefit packages which includes:
Our mission is to establish a culture that reinforces the values necessary to be the premier health services provider and employer in each of the communities we serve.