Accounts Coordinator

Karen Ann Quinlan Memorial Foundation•Newton, NJ

10d

About The Position

The Accounts Coordinator handles insurance verification and billing support for hospice and palliative care services. The role uses Medicare systems, the internet, and phone calls to obtain insurance information; documents details accurately in the EMR; prepares authorizations and benefit letters; and performs benefit reverifications. The coordinator also maintains pharmacy census and invoicing data, follows up on commercial insurance claims, posts payments, manages remits and deposits, and supports accounts receivable and billing resolution. The position coordinates insurance information with Patient Care, Social Services, and Accounts Payable; tracks required patient forms and Medical Director certificates; and supports completion and submission of HOPE records. Additional duties include maintaining patient billing files, filing and photocopying, attending required education programs and meetings, following the dress code, and performing other assigned duties. The schedule is Monday through Friday, 8:30 a.m. to 4:30 p.m., with some weekends.

Requirements

Ability to perform data entry, bookkeeping, and insurance procedures.
Understanding of general accounting and office procedures.
Strong computer skills, including experience with Microsoft Word, Excel, and Outlook.
Ability to comprehend spoken and written English and communicate clearly verbally and in writing.
Good decision-making, time-management, and communication skills.

Responsibilities

Verify insurance for all referrals using Medicare systems, internet resources, and phone calls.
Document insurance information accurately and in detail in the EMR.
Prepare authorizations and benefit letters for commercial referrals and perform benefit reverifications as needed.
Enter daily Enclara/Dragonfly Pharmacia data, maintain census records for admissions and discharges, and review invoicing accuracy.
Collect on commercial insurance claims through regular follow-up and detailed progress notes.
Verify and track signed consents for admissions and discharge forms for discharges.
Review admissions for accurate EMR data.
Complete nursing home room-and-board authorizations.
Complete and submit HOPE records and work with clinical staff to ensure files are complete and correct.
Post commercial payments and retrieve remits for EFT payments.
Track and record Hospice patient Medical Director certificates.
Coordinate patient insurance information with Patient Care, Social Services, and Accounts Payable.
Manage and resolve outstanding Hospice commercial billing and Palliative Care accounts receivable.
Update cash sheets and the Cash Journal with daily bank deposits.
Provide general office assistance, including preparing and maintaining patient billing files, filing, and photocopying.
Perform primary filing of NOEs.
Report complex situations, discrepancies, or concerns promptly to the Billing Supervisor.
Participate in required in-service education programs and meetings.
Comply with the dress code by maintaining a professional appearance and wearing an ID badge while on duty.
Perform other duties as assigned.