Medical Accounts Receivable Coordinator

About the Role

The Hospice Accounts Receivable (A/R) Coordinator plays a critical role in ensuring accurate and timely reimbursement for hospice services. This position is responsible for managing the full A/R lifecycle, including claim submission, payer follow-up, denial resolution, and cash reconciliation. The A/R Coordinator works closely with internal departments and external payers to investigate, resolve, and collect on outstanding accounts, while adhering to regulatory billing guidelines and payer-specific requirements.

What You Will Do

• Ensure Accounts are thoroughly worked before escalation or write-off consideration.
• Investigates and verifies patients' medical insurance benefits when benefits change.
• Review and confirm payments posted match contractual and expected reimbursement.
• Identify denial trends.
• Identify root causes of denials and recommend actions.
• Performs pre-billing functions according to established procedures.
• Verifies completeness of claims and correct billing errors prior to submission.
• Follow-up on patient accounts per established procedures.
• Documents all follow-up on patient accounts in billing comments section in the electronic medical record.
• Prepares Billing Adjustments and Payment Adjustments according to established procedures.
• Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer.
• Interacts with patients/families regarding medical insurance benefits and reimbursement of services.
• Demonstrates effective Service Excellence skills according to agency standards.
• Works collaboratively with Revenue Cycle team members and other appropriate Hospice of the Western Reserve staff to ensure reimbursement of all services.
• Assists in the continued development of the verification, and reimbursement processes.

Qualifications

• High school diploma required.
• Three (3) or more years' experience with A/R follow up and electronic medical records preferred.
• Proficient in Microsoft Word, Excel, and Outlook.
• Ability to compose and type business correspondence.
• Knowledge of Medicare, Medicaid, Managed Care and Commercial reimbursement processes preferred.
• Strong analytical and problem-solving skills with the ability to investigate reimbursement issues and identify root causes of denials.
• Must be detail oriented and be able to work in a fast-paced environment.
• Must demonstrate strong customer service and communication skills.
• Flexibility to work both independently and in a team environment.

Benefits & Perks

• Total Rewards Package to include Retirement, Health, Dental, Vision, voluntary benefits and Corporate Discounts
• Tuition Assistance
• Non-exempt role
• Technology Package
• Protocols in place for wellbeing during COVID-19

Conditions of Employment

• Compliance to Annual Flu Shot Policy or ability to provide exemption documentation
• Ability to provide proof of eligibility to work in the United States
• High level of integrity, ethics and professionalism