Hospice Medicare Billing and Collections Representative
It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success! Role: The Billing and Collection Representative for Medicare is responsible for processing and submission of third party claims, denial management, and account resolution. Qualifications:
- High School Diploma or GED
- Minimum of one (1) year of medical billing and collection experience
- Knowledge of third party billing and state and federal collection regulations preferred
- Ability to prioritize and multi-task independently with little supervision
- Must be self-motivated and service oriented
- Excellent written and verbal communication skills
- Accurate typing and data entry skills
Competencies:
- Satisfactorily complete competency requirements for this position.
Responsibilities of all employees:
- Represent the Company professionally at all times through care delivered and/or services provided to all clients.
- Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
- Comply with Company policies, procedures and standard practices.
- Observe the Company's health, safety and security practices.
- Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
- Use resources in a fiscally responsible manner.
- Promote the Company through participation in community and professional organizations.
- Participate proactively in improving performance at the organizational, departmental and individual levels.
- Improve own professional knowledge and skill level.
- Advance electronic media skills.
- Support Company research and educational activities.
- Share expertise with co-workers both formally and informally.
- Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.
Job Responsibilities:
- Prepares and submits accurate billing to third party payor’s and self-pay invoices.
- Identifies and resolves billing clearinghouse rejections.
- Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor’s.
- Analyzes and resolves credit balances.
- Handles incoming and outgoing customer service calls to third party payor’s, outside providers and patients/guarantors to resolve and achieve account resolution.
- Processes correspondence.
- Initiates and resolves technical denial appeals.
- Identifies payor denial and cash fluctuation trends and escalates as appropriate.
- Performs other duties as assigned.
Compensation
Pay Range: $18.43 - $27.43 This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/. Apply To This Job