Hospice Reimbursement Coordinator

Responsible for managing accurate and timely completion and submission of all accounts payable and accounts receivable functions of the hospice. Tracks and collects accounts receivable and acts as a liaison with third party payers. Supports and documents clinical functions as related to collection ---------- SENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Responsible for Palliative Care billing, resubmission and collections

2. Communicates effectively with patients, families and staff

3. Provides IT support to include office equipment setup and trouble-shooting, coordinating with 3rdparty vendors

4. Training of software systems

5. Performs data entry in EMR software systems

6. Insurance (Managed Medicaid, Medicare, Commercial) Pre-Authorization, Authorization, Single Agreement Contract

7. Insurance (Managed Medicaid, Medicare, Commercial) Credentialing Processes

8. Insurance (Managed Medicaid, Medicare, Commercial) direct deposit/ACH/EFT Requests

9. Physician/Provider Visits Data Entry

10. Performs administrative duties to support Billing & Claims

11. Ensures patient/client accounts record systems are maintained in accordance with generally accepted accounting standards and in compliance regulations

12. Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations

13. Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions

14. Ensures maximum third party reimbursement through efficient collections operations and effective accounts receivable management

---------- municates regularly and as requested by supervisor in providing AR reports

Job Title/Position: Reimbursement Coordinator

16. Monitors aged accounts receivable and resubmits bills to overdue accounts and reports seriously overdue accounts to Manager of Reimbursement

17. Works with members of the intake team to ensure that patients/clients are billing and receiving authorizations according to agreements with insurance case managers and other negotiated payers

18. Assists in the preparation of monthly report and claim forms

19. Protects the confidentiality of patient/client and hospice information through effective controls

20. Coordinates and works in cooperation with all departments within financial office.

21. Performs other necessary functions/duties as assigned by the VP, Special Projects and/or Chief Operating Officer



POSITION QUALIFICATIONS

1. High School graduate; college degree in business related field preferred

2. HCHB experience highly preferred

3 & 4 are not required

5. Strong computer skills and knowledge of software applications

6. Demonstrates good communication skills, negotiation skills and public relation skills

7. Demonstrates a proven capability to accurately manage detailed information

8. Demonstrates an ability to deal tractfully with patients/clients, family members, referral sources and payers

9. Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities

10. Basic understanding of Fair Labor Standards Act

11. Working knowledge of MS Office Applications and Google Drive applications

12. Ability to critically think and problem-solve