Hybrid Medical Billing Specialist bei Good Shepherd Hospice
Good Shepherd Hospice · Oklahoma City, Vereinigte Staaten Von Amerika · Hybrid
- Professional
- Optionales Büro in Oklahoma City
Overview:
The Medical Billing Specialist assumes responsibility for billing payers for hospice services performed, monitoring the collection, and posting payments
to patient accounts.
to patient accounts.
- Hospice billing strongly preferred
- Files all billing forms for reimbursement from payer sources.
- Responds to payer sources for requests for further information on claims.
- Monitors aging of accounts receivable and re-bills, as necessary until the amount due is collected.
- Files all bills accurately and completely in accordance with payer instructions.
- Reviews new-admission records as posted in the computer to verify accuracy of billing information.
- Verifies patient policy/benefit information with payer sources and coordinates prior-authorization if required.
- Ensure eligibility is verified on admission and accurately maintained and followed up accordingly to prevent lost revenue for Medicaid clients as required.
- Notifies Administration of any missing documentation required to complete billing.
- Answers routine billing questions from admissions staff, patient care staff, and patient families/caregivers as needed.
- Identifies and resolves billing issues involving other Hospice providers as required by payer guidelines.
- Performs duties associated with re-billing and collections of Medicare, Medicaid, HMO/PPO claims in accordance with best business practices.
- Calls insurance companies regarding denials and non-payment of billed accounts.
- Responsible for identifying problems and solutions or enhancements to resolve billing issues.
- Responsible to monitor ADR request and notify Administrators promptly.
- Responsible to monitor and track ADR denials and communicate to Administrators.
- Maintains billing files
- Performs other duties as assigned.
- Participates in educational activities and attends routine staff meetings.
- Participates in training as required by Medicare/HMO/PPO/Hospice Guidelines in-order to comply with billing regulations and changes in the industry.
- Maintains strictest confidentiality and adheres to all HIPAA guidelines/ regulations
- Working knowledge of basic computer programs.
- Ability to read, understand and follow oral and written instructions.
- Ability to read and interpret complex instructions, regulations, or other correspondence from payer sources.
- Ability to establish and maintain effective working relationships with others.
- Must be well organized and detail-oriented.
