BILLING SPECIALIST II

Avow Hospice•Naples, FL

20d•$23 - $26•Onsite

About The Position

Under the direction of the Director of Revenue Cycle, responsible for all aspect of billing and collections for all pay sources, following all compliance and regulatory requirements. Completes all billing workflow in an efficient and timely manner.

Requirements

Bachelor's Degree (B.A.) or equivalent from four-year college or technical school; or two to five years of related experience and/or training; or equivalent combination of education and experience.
Current Driver’s License.
Experienced in hospice and/or healthcare billing software; word processing software; spreadsheets and general computer usage.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.
Ability to read, analyze, and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports, business correspondence. Ability to effectively present information and respond to questions from groups of customers, clients, or employees of organization.
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in standardized situations.
Must be able to stand, walk, stoop, kneel, crouch, or crawl up to 1/3 of work time; sit or use hand to finger, handle, feel, talk or hear over 2/30 of work time; reach with hands and arms 1/3 to 2/3 of work time.
Must be able to lift up to 25 pounds.
Special vision requirements; close vision (clear vision at 20 inches or less); distance vision (clear vision at 20 feet or more); color vision (ability to identify and distinguish colors); peripheral vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point); depth perception (three-dimensional vision, ability to judge distances and spatial relationships); ability to adjust focus (ability to adjust the eye to bring an object into sharp focus).

Responsibilities

Keep in compliance of regulatory compliance requirements related to billing.
Completes workflow in the EHR system for verification, eligibility and authorizations
Reviews and processes the coordination workflow and completes action items
Performs all billing functions, daily, weekly and monthly. (Medicare, Medicaid, third party, self-pay, Hospice
Verifies all Medicaid patients’ eligibility on the first of each month.
Initiates Travel Patient Agreements and Authorization for Services that are identified in the workflow
Initiates Authorization for Services that are identified in the workflow
Reviews patient account balances for credits and process refunds if appropriate
Participates in monthly aging meeting with CFO and Director of Revenue Cycle
Participates in weekly team meeting
Participates in weekly 1:1 meetings
Compose and mail out benefit summary letters (Commercial Insurance, Medicaid, and SelfPay)
Send notifications of hospice admission and/or deaths to DCF
Process Medicaid applications and follow up on additional information requests from DCF to process the application
Check status regularly of Medicaid applications in process and inform patient’s Social Worker of status including any new information required
Notifies contracted hospitals when a patient chooses Hospice while in their hospital
Notifies contracted Nursing Facility when a resident at their location as chosen admission to Hospice Care and when patient is discharged from Avow.
Participates in monthly aging meeting with CFO and Director of Revenue Cycle.
Field phone calls from outside vendors, patients/families, etc. and assist with billing concerns
Maintains and reviews, as necessary, the billing system for Hospice, including patient’s accounts payable and receivable.
Bills related software, such as Medicaid Portal for Medicaid and on-line services available for Medicare.
Manages and coordinates billing and collection functions for programs as assigned
Collections follow up per procedure.
Maintains current information on Medicare and Medicaid and prepare required reports.
Works together with team and other organizational departments to ensure that the needs of patients are being met in relation to billing and authorizations.
Other duties as assigned by the Director or CFO.