AR Coordinator- Biller

Samaritan•Mt Laurel, NJ

9d•Onsite

About The Position

Join Us and Be Apart of The Samaritan Difference! This role involves preparing and submitting hospice claims electronically to Medicare, Medicaid, and commercial payers. You will utilize billing software to adjust, correct, and resubmit claims, monitor claims for timely submission and reimbursement, and bill hospice discharges weekly. The position also requires processing Notice of Election (NOE) billing requirements, entering and managing NOE information, and ensuring compliance with Medicare hospice billing regulations. Additionally, you will prepare and submit Room & Board claims for hospice patients in nursing facilities, coordinate with facilities for accurate census information, monitor room and board reimbursement, and resolve payment discrepancies. You will also follow up with payers or facilities regarding unpaid room and board claims, monitor hospice accounts receivable, investigate and resolve unpaid or denied claims, and follow up on rejected claims. This role coordinates accounts receivable activities to meet required schedules for billing and financial reporting, posts payments, prepares adjustments, and reconciles payment activity. You will assist with identifying and resolving payment discrepancies, communicate with staff for documentation, participate in revenue cycle team meetings, maintain accurate billing documentation, and support process improvements.

Requirements

High school diploma
A minimum of 3 years experience in hospice billing or healthcare revenue cycle experience
Knowledge of Medicare hospice billing regulations
Experience with room and board billing for hospice patients in nursing facilities
Familiarity with Medicaid and managed care payer processes
Experience with electronic billing systems and EHR platforms
Strong attention to detail and organizational skills
Microsoft Excel and Word applications.

Responsibilities

Prepare and submit hospice claims electronically to Medicare, Medicaid, and commercial payers.
Utilize billing software to adjust, correct, and resubmit claims when necessary.
Monitor claims to ensure timely submission and reimbursement.
Bill hospice discharges on a weekly basis.
Process Notice of Election (NOE) billing requirements.
Enter and manage NOE information in the billing system.
Ensure compliance with Medicare hospice billing regulations and submission timelines.
Prepare and submit Room & Board claims for hospice patients residing in nursing facilities.
Coordinate with contracted facilities to ensure accurate census information for billing.
Monitor room and board reimbursement and resolve payment discrepancies.
Follow up with payers or facilities regarding unpaid room and board claims.
Monitor hospice accounts receivable to ensure timely reimbursement.
Investigate and resolve unpaid or denied claims.
Follow up on rejected claims and resubmit corrections as needed.
Coordinate accounts receivable activities to meet required schedules for billing and financial reporting.
Post payments to hospice patient accounts.
Prepare adjustments within the accounts receivable system when necessary.
Reconcile payment activity with billing reports.
Assist with identifying and resolving payment discrepancies.
Communicate with clinical and administrative staff to obtain documentation required for billing or claim resolution.
Participate in revenue cycle team meetings as necessary.
Maintain accurate billing documentation and records.
Support process improvements to enhance billing accuracy and reimbursement efficiency.