CHS Biller

AveraCresco, IA
5h

About The Position

At Regional Health Services, we strive to create a positive, team-oriented work environment for our staff. Our professional team of clinical, administrative, and support staff work each day to better serve and care for our community. If you would like to join us on our mission, apply today! POSITION SUMMARY: Generate revenue from home health and hospice patient accounts by accurately submitting claims to Medicare, Medicaid, commercial insurance carriers, and other third-party payers. Ensure timely reimbursement by monitoring accounts, resolving billing issues, submitting required admission and episodic filings, appealing denials, and following up on unpaid claims. Maintain compliance with CMS Conditions of Participation, Medicare billing regulations, home health and hospice-specific requirements, and payer contracts. Communicate professionally with payers, clinical teams, patients, and families. Provide billing, reporting, and administrative support to the business office and leadership as assigned.

Requirements

  • Knowledge of both home health and hospice billing practices and Medicare regulations required.
  • Minimum of one (1) year medical billing experience required; combined home health and hospice billing experience strongly preferred.
  • Proficiency with electronic health records (EHR), billing systems, Excel, and email required.
  • Strong analytical, organizational, and attention-to-detail skills.
  • Excellent written and verbal communication skills.

Nice To Haves

  • Working knowledge of OASIS, hospice elections, certifications/recertifications, and CMS billing timelines preferred.
  • Minimum of one (1) year medical billing experience required; combined home health and hospice billing experience strongly preferred.

Responsibilities

  • Generate revenue from home health and hospice patient accounts by accurately submitting claims to Medicare, Medicaid, commercial insurance carriers, and other third-party payers.
  • Ensure timely reimbursement by monitoring accounts, resolving billing issues, submitting required admission and episodic filings, appealing denials, and following up on unpaid claims.
  • Maintain compliance with CMS Conditions of Participation, Medicare billing regulations, home health and hospice-specific requirements, and payer contracts.
  • Communicate professionally with payers, clinical teams, patients, and families.
  • Provide billing, reporting, and administrative support to the business office and leadership as assigned.
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