Hospice Medicare Billing and Collections Representative

Role

The Medicare Billing and Collection Representative is responsible for processing and submission of third party claims, denial management, and account resolution.

Qualifications

• High School Diploma or GED
• Minimum of one (1) year of medical billing and collection experience
• Knowledge of third party billing and state and federal collection regulations preferred
• Able to prioritize and multi-task independently with little supervision
• Must be self-motivated and service oriented
• Excellent written and verbal communication skills
• Accurate typing and data entry skills

Responsibilities

• Prepares and submits accurate billing to third party payor’s and self-pay invoices
• Identifies and resolves billing clearinghouse rejections
• Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor’s
• Analyzes and resolves credit balances
• Handles incoming and outgoing customer service calls to third party payor’s, outside providers and patients/guarantors to resolve and achieve account resolution
• Processes correspondence
• Initiates and resolves technical denial appeals
• Identifies payor denial and cash fluctuation trends and escalates as appropriate
• Performs other duties as assigned

Pay

Compensation Pay Range $14.78 - $22.11

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility.

For more information, please visit https://info.flclearinghouse.com/.