Home Health and Hospice Billing Specialist

Overview

We are looking for a full-time Home Health and Hospice Billing Specialist to join our team! This position will be responsible for billing all Home Health and Hospice services for three Otterbein ministries.

This position reports directly to the Director of Accounts Receivable.

Responsibilities :

• Maintain current knowledge of industry compliance including new regulations, conditions / requirement of participation, and third party insurance billing requirements.
• Preform all aspects of billing for all payers including but not limited to electronic billing and claims follow up / resolution, Private Pay statements, and insurance verifications.
• Submit timely Notice of Elections and Notice of Admissions for the respective ministries.
• Support partners on basic business office and billing functions, so they can assist with their respective assigned duties regarding patient accounts and billing.
• Run monthly benefit verifications and MITS checks for all patients to identify any changes in case coverage, enrollment in Managed Care plans, Liability, LTC Facility Placement, Restricted Coverage Periods, and status of Waiver or Nursing Home benefit assignment.

Take all appropriate action(s) on accounts to update, adjust claims, and notify partners.

• Assist in making any necessary retroactive payer changes, process adjustments as required, and coordinate / communicate regarding impacts on prior period revenue recognition.
• Collaborate with clinical staff for the completion of clinical Assessments, charge import posting, and clearing invoice errors to produce invoices for submission.
• Assist with month end close procedures including by not limited to cash posting, adjustment posting, cash reconciliation, ancillary uploads, and assist with reporting as requested.
• Posting of Cash Receipts on a daily basis to maintain current up to date AR balances, and process necessary adjustments concurrent with Cash posting and Zero balance or Zero paid remittances.
• Monthly review of Accounts Receivable Aging reports, and follow up on past due balances through to completion and appropriate payment processing.
• Communicate with partners and / or families regarding receivable balances in a clear, respectful, customer service oriented manner.
• Investigate credit balances monthly, and process refunds and adjustment as needed in accordance with department procedures reviewing all open AR balances.
• Maintain customer confidentiality in accordance with all HIPPA regulations.
• Support the Mission and high standards of customer service as it pertains to both internal customers, external customers, and partners of Otterbein Senior Life.
• Cross-train with other positions within the department to provide coverage, support, and understanding overall functions of the department.
• Maintain monthly billing logs and distribute for Leadership reporting.
• Other duties as assigned.

Skills required :

• Strong Communication skills (verbal and written) to communicate with coworkers, families and outside vendors to obtain needed information and provide support to effectively prepare accounts for the billing process and resolve billing issues.
• Above average understanding of full billing process from point of care to payment collection.
• Strong critical thinking / decision-making skills to make informed decisions on how to proceed with billing concerns and issues.
• Positive customer service attitude towards others by taking ownership in problem solving and taking initiative to research and resolve billing issues.
• Ability to communicate positively, effectively, and appropriately with elders, families, leadership, clinical staff, and other partners.
• Ability to understand and explain complex Accounts Receivable and Revenue Cycle questions.
• Ability to manage multiple priorities to meet the needs of our customers, and achieve department timelines and goals.
• Ability to work independently without supervision.
• Detail oriented especially to identify and resolve billing discrepancies and / or questions.

Qualifications

• Education : Associates Degree in Accounting, Business Administration, or equivalent experience is required.
• Experience : Minimum 5 years billing experience required and knowledge of Medicare, Medicaid, Managed Care, Private Pay, MyCare Ohio, Supplement plans, and other payers in the Hospice and Home Health environment.
• Computer Skills : Computerized account systems, Microsoft Excel, and Point Click Care or other similar billing software.
• Prior experience in the long-term care setting preferred. Supervisory and training experience of business office and billing process preferred.

BENEFITS*

Medical insurance with free virtual doctor visits

Pharmacy Benefits

Vision and dental insurance

Paid Time off that accrues immediately

Paid Holidays

Life insurance

Retirements Savings with a (k) or (b) with company match

Get access to 50% of your wages before pay day through PayActiv

Employee sponsored fund for employees in need

Employee Assistance Program (EAP)

Tuition Assistance

• Some benefits are based on hours worked
30+ days ago