Hospice Billing Specialist

Responsibilities

• Prepares and maintains patient billing files.
• Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program.
• Participates in the quality program (IOP).
• Reviews and edits claims prior to billing to ensure accurate and clean claim submission.
• Maintains billing and accounts receivable deadlines.
• Prepares and distributes unsubmitted billing list to appropriate personnel weekly.
• Reviews all remittance advices for contractual adjustments, withholds and bad debt.
• Attaches documentation for justification, as needed.
• Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary.
• Drafts and sends to Fiscal Intermediary Medicare, credit balance reports for each Hospice office on a quarterly basis.
• Supervises Billing, Referral Intake and Scheduling personnel in the absence of the Director of Operations/Reimbursement.
• Maintains branch locations monthly unbilled if assigned.
• Reports any ADR’s to Compliance Officer and Regional Director of Clinical Care.

Qualifications

• A high school diploma or equivalent is preferred.
• Experience with PC's and familiarity with common office software, such as Microsoft Office and spreadsheets, is required.
• Excellent organizational and attention to detail skills are essential.
• Effective communication skills, both written and verbal, are necessary.