Billing and Outside Claims Specialist

Four Seasons, The Care You Trust•Flat Rock, NC

1d•Onsite

About The Position

The Billing and Outside Claims Specialist is responsible for the accurate, timely, and effective collection of hospice and palliative patient accounts. The role also performs Billing Department data entry and provides excellent customer service to internal and external customers. The Specialist is expected to demonstrate the technical competency, work ethic, attitude, discipline, and communication skills needed to meet monthly, quarterly, and fiscal-year goals and contribute as part of a cohesive Billing Team. The position is full-time, hourly, and non-exempt, based in Flat Rock, North Carolina, with a Monday–Friday schedule from 8:00 a.m. to 4:30 p.m. It reports to the Director of Billing.

Requirements

Associate’s degree in Healthcare, Business, or equivalent experience in a related field.
Knowledge of HIPAA privacy policies.
Excellent organizational, written, oral, collaborative communication, and interpersonal skills.
Strong attention to detail and accuracy.
Proficiency in Microsoft Office, including Outlook, Word, and Excel.
Ability to work independently with minimal supervision and under pressure to meet deadlines.
Ability to take initiative and use innovative techniques.
Ability to interact with departments across the organization and participate as a team player.
Ability to plan, prioritize, and coordinate daily tasks.
Ability to honor and demonstrate the organization’s values of Compassion, Balance, Respect, Integrity, Teamwork, and Excellence.

Nice To Haves

Continuing education or professional development related to healthcare billing and administration.
Experience with Medicare Part A and B billing, private insurance, and private pay.
Experience with computerized medical billing systems; Suncoast and/or CareCloud experience is preferred.
Certified Professional Coder certification.

Responsibilities

Process Palliative Care patient statements.
Post Palliative Care cash receipts.
Assist the Billing Team during high-volume periods and cover areas as needed when coworkers are on paid time off.
Communicate billing needs effectively with Billing Team members and staff in other departments.
Respond to patient accounting and billing questions from patients, responsible parties, staff, and reimbursement sources.
Assist with Tracker auditing.
Maintain adequate documentation related to patient account data.
Verify benefits and complete patient eligibility work as needed.
Bill hospice and palliative care claims to Medicare, Medicaid, private insurance, and private-pay sources using the practice management system and other billing software tools as needed.
Post payments and adjustments into patient account software as needed.
Demonstrate excellent communication and customer service with patients, families, staff, and vendors.
Maintain confidentiality regarding patients, families, staff, and the organization.
Perform other duties as assigned.

Benefits

Competitive salaries reviewed annually.
Annual operational performance bonus opportunities.
$0 employee premiums on medical insurance.
Annual $600 well-care benefit for self-care, childcare, pet care, or elder care.
Medical and dental insurance benefits beginning the first of the month after hire.
403(b) retirement plan with employer match.
Generous paid time off package of 20 or more days per year.
Up to six paid holidays.
Employer-paid short-term disability, long-term disability, and life insurance.
Employer-paid teletherapy and telemedicine coverage.
Health and dependent care flexible spending accounts.
Employee wellness program.
Up to $3,000 in tuition reimbursement each year.