Billing Specialist – Hospice

Billing Specialist – Hospice

Requirements

• 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
• Strong mathematical skills for calculating remittances, payments, and reconciling accounts
• Foundational knowledge of Home Health/Hospice Medical Billing
• Familiarity with medical billing processes, claims submission, and claim denials
• Reliable transportation
• Valid and current auto insurance

Responsibilities

• 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

Preferred Qualifications

No preferred qualifications provided.