4087
Home Health/ Hospice Business Office
Billing Manager
Job Summary • Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values. • Supervising the direct activities of the Home Health/Hospice coding, collection, and billing functions. • Government, non-government, managed commercial care, self pay and litigation AR accounts; with responsibility of cash flow as it relates to coding, billing, and collections. • Ensures that staff is appropriately following up on patient accounts to maintain days in A/R at an acceptable level. • Ensures that staff respond to all requests for information from patients/families and third party payors regarding patient account information timely • Trains staff in the use of computer software and billing system • In- service billing staff with the available literature for Home Health and Hospice billing and collections. • Monitors corporate compliance with all regulatory matters which involve billing processes and funded programs by both State and Federal. • Having complete understanding of all Home Health and Hospice policy and procedures and can administer the policies per the established stated and federal guidelines. • Responsible for the education of the staff of changes in the Medicare, Medicaid, Champus or any other third party payor benefit. • Involved in all processes related to coding, cash posting, electronic & manual billing, credit balance resolution, posting error resolution, adjustment verification against state, federal & managed commercial contracts, suspense account reconciliation to include reporting of variances related to expected reimbursement versus actual reimbursement. • Government and state reports must be completed and submitted timely for a Hospice patient to qualify. This position will identify any errors and/or omissions in reimbursement processes, unfavorable trends and assure Hospice compliance.
Qualifications/Training: • Have working knowledge of computers, requirements for electronic & manual billing to third party payers, accounting principles, medical terminology, medical coding and general office procedures to include standard typing skills of at least 45 wpm. • Be competent to perform data entry and to differentiate billing requirements amount various payer groups. • Be able to use excel, 10 key adding machine, and word processing. • Have excellent communication and organizational skills. • Be highly adaptable, critical thinker, problem solver and have the ability to initiate and make decisions to carry out work assignments within the guidelines provided. • Must have 3 – 5 years’ experience of billing, collection, cash posting, general data entry & coding experience within a hospital and/or medical setting.
Licenses/Certifications/Registrations/Education: • Minimum High School Diploma or equivalent (GED)
Full time
Florence, SC, United States
Full time
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