Billing Staff

Benefit Home Health Care•Colorado Springs, CO

1d•Onsite

About The Position

The billing/collections clerk is responsible for the accurate and timely completion and submission of Medicare, Medicaid, private payer and patient billing. This role ensures reimbursement through efficient billing and collections operations, provides oversight and approval of claims audits and processing, and conducts final billing audits. The clerk ensures billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations. They maintain comprehensive working knowledge of payer contracts and government billing regulations, serving as a resource for agency personnel and resolving conflicts with payers. The position involves monitoring aged accounts receivables, submitting overdue accounts for collection, preparing bad debt reports, and collaborating with the Executive Leadership Team to strategize for optimized billing efficiency. Additionally, the clerk reconciles billing system reports with the general ledger and Medicare quarterly reports, prepares annual Medicare cost reports for Executive Director review, supervises the billing information system, and reconciles cash receipts and bank deposits. Protecting the confidentiality of patient and agency information is also a key responsibility.

Requirements

Associate degree in Accounting, Business Administration or related field
At least three years’ experience in health care billing and collections management preferably in home care operations
Billing information systems knowledge required
Knowledge of corporate business management, governmental regulations, and Joint Commission standards
Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills
Demonstrated capability to accurately manage detailed information
Able to deal tactfully with patients, family members, referral sources and payers
Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities

Nice To Haves

Bachelor’s degree

Responsibilities

Ensures reimbursement through efficient billing and collections operations.
Provides oversight and approval of claims audits and processing.
Conducts final billing audit and issues assignments to pre-billing team when findings require further documentation.
Ensures that billing and patient accounts record systems are maintained in accordance with generally accepted accounting principles and in compliance with state, federal and Joint Commission regulations.
Maintains comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
Represents and acts on behalf of agency in resolving conflicts with payers.
Advises Executive Director in matters of accepting/declining problematic payers.
Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for appropriate agency personnel.
Monitors aged accounts receivables and resubmit bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
Gathers, collates, and reports key billing information to billing team.
Works with Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger.
Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system and prepares the annual Medicare cost report for Executive Director review.
Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
Supervises and reconciles cash receipts and bank deposits according to policy.
Establishes and maintains positive working relationships with patients, family members, payers, and referral sources.
Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.