- Conduct insurance benefit verifications for new admissions to Home Health and Hospice.
- Obtain necessary authorizations for Home Health and Hospice services.
- Maintain and update the authorization tracking form, monitoring visit counts and the validity period of authorizations by discipline.
- Ensure timely follow-up for additional authorizations as required.
- Timely submission of Home Health's Notice of Admission (NOA) and Hospice's Notice of Election (NOE) within CMS mandated 5-day timeframe.
- Generate charges, enter payments, and make adjustments.
- Manage the printing and submission of both paper and electronic claims.
- Conduct rigorous follow-up on outstanding claims and document collection efforts.
- Organize and maintain billing files and ensure accuracy in month-end close reports.
- Review Aging Reports and resolve payment issues to ensure timely collections.
- Verify the accuracy and update patient demographic data for all admissions.
- Prepare and send out benefit letters to newly admitted Home Health patients.
- Enter and update physician data in the back office system.
- Execute the month-end close process for Home Health and Hospice Accounts Receivable, including charge generation, account auditing, adjustment posting, and reconciliation.
- Proven experience in medical billing or a related field.
- Strong organizational and multitasking skills.
- Excellent communication and interpersonal abilities.
- Familiarity with healthcare billing software and electronic medical records.
- Detail-oriented with a strong analytical acumen.
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Billing Specialist - Hanover, United States - Visiting Nurse Association of Hanover & Spring Grove
Description
Job Title: Billing SpecialistJob Type: Full-Time, Monday -Friday, 8-4:30pm
Summary:
The Finance/Billing Specialist is responsible for performing insurance benefit verifications, obtaining necessary authorizations for services, and handling all aspects of billing and collections for Home Health and Hospice service lines at the VNA of Hanover & Spring Grove. This role demands accuracy, diligence, and the ability to manage multiple responsibilities efficiently. Cross-training with other finance department roles is required to ensure comprehensive team functionality.
Primary Duties and Responsibilities:
Benefit Verifications
Authorization Management
Regulatory Compliance
Billing and Claims Management
Financial Reporting and File Maintenance
Aging Report Analysis
Data Verification
Communication
Data Management
Month-End Close Process
Qualifications:
