Hospice Room and Board Biller

Education

High School or GED equivalent.

Experience

• Three years’ medical billing, collection and account resolution experience.
• Previous nursing home room and board billing desired.

Knowledge, Skills And Abilities

• Thorough knowledge and understanding of medical billing, insurance and private pay.
• Strong knowledge of all medical billing requirements for Medicare, CareFirst, Medical Assistance, Commercial insurance, and HMO carriers.
• Strong collection skills, including claims follow-up and revenue cycle practices.
• Builds a good rapport with nursing facilities.
• Able to multi-task, set priorities, and manage time effectively.
• Exemplary computer skills, including EMR knowledge and Microsoft Office including excel.
• Attention to detail and strong math skills.
• Skill in data analysis and interpretation.
• Strong interpersonal skills.

Physical Requirements

• Ability to sit, concentrate and pay close attention to detail.
• Normal office environment with little exposure to excessive noise, dust, temperatures and the like.

Principal Duties And Responsibilities

• Manages assigned nursing home’s claims processing functions, from eligibility through claim resolution, including adjusting claims.
• Manages large account spreadsheets, communicates with nursing home partners.
• Performs all inpatient room and board billing.
• Collaborate with business development managers ongoing.
• Balances claims to ensure payments from Medicaid are appropriate.
• Ensures all payments to nursing facilities are valid.
• Manages assigned Epic work queues daily to ensure accurate billing and expedient claims follow-up.
• Processes any late charge claims, claims resubmission and/or claim corrections to payors.
• Submits all claim files to Medicaid and other payers, including but not limited to file transfer of payment files.
• Responds to patient and third party payor inquiries regarding patient accounts via e-mail, telephone, mail, and in person.
• Troubleshoot any claim discrepancies to resolution.

Working Conditions

• Normal office environment with little exposure to excessive noise, dust, temperatures and the like.

Pay Range

$19.92 - $29.87 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.