Senior Hospice Billing Specialist

Job Description

Job Description

Analysis, billing, follow up and collection of all assigned Hospice patient receivables. This is accomplished by using knowledge of third-party reimbursement, IHC policies and collection techniques and accounting principles to insure the timely financial resolution of each account.

Responsible for the complete and accurate resolution of all resident account balances for Integritus Hospices. Total individual facility accounts receivable balances range between six hundred thousand to 3 million dollars each.

On a daily basis work directly with Facility Bookkeeper or Nursing personnel to obtain needed information to submit all accounts or resolve disputes with third party insurance vendors

Responsible for achieving budgeted cash targets for assigned facilities.

Responsible for achieving budgeted days in Accounts Receivable for assigned facilities.

Participate on a monthly basis in Accounts Receivable meeting with Administrator, Facility Bookkeeper and Director of Patient Accounts. Prepare and present underlying support for receivable.

Manage Accounts Receivable meeting when Supervisor is unavailable.

Train facility personnel when Trainer is unavailable.

Cover facility bookkeeper position during vacancies.

Submit claim forms, turnaround documents or electronic files for all third-party claims within 5 days of month end. Completion of forms following Federal and State specific regulations.

Reconcile all accounts using general accounting principles to ensure balances are accurate. Prepare adjustments for data entry when necessary.

Maintain adequate control files to allow for ongoing assessment of timely payments by all third parties.

Write appeal letters to third parties.

Respond to questions and calls from residents and their families.

Make recommendation and prepare any necessary paperwork on potential bad debt accounts.

Analyze and prepare refund request forms within 30 days of credit appearing.