Hospice Billing Analyst

Graham Healthcare Group

1d•Remote

About The Position

SUMMARY Support the Hospice Billing Team Lead and Hospice Billing Manager to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients. Monitor claims for timely processing of payments and rejections and work on Accounts Receivable (A/R) weekly. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned as necessary. Bill for Medicare/Medicaid/Blue Cross and other commercial payors under Hospice guidelines Review RTP claim errors, submit adjustment/correction claims, work 3rd-party rejections, and follow up on status of outstanding claims under Hospice guidelines Bill commercial claims through Waystar and/or all other commercial payor portals Ensure that NOE/NOTRs are filed on time for Medicare claims Review Medicare claims in eSolutions & FISS/DDE for payment dates Review ineligible & eligible billing reports and correct any issues prior to processing claims Review A/R balances and ensure outstanding balances are being addressed Review Medicare and 3rd-party aging reports and work claims daily Update billing notes and follow up as required Review all payor remits filed in OneDrive by Accounts Payable Prepare and submit write-off/bad debt documentation to Hospice Billing Manager by monthly deadline for Revenue Cycle Fax/Enter Medicaid Hospice enrollments/documentation as required by each individual state Complete and submit HPF form to SNF within24 hours of admission Cover department when another team member is ill or on vacation Comply with Graham Healthcare Group’s Core Values and Core Competencies Perform other duties as assigned QUALIFICATION REQUIREMENTS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, climb stairs, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana. By supplying your phone number, you agree to receive communication via phone or text. By submitting your application, you are confirming that you are legally authorized to work in the United States. Graham Healthcare Group is an Equal Opportunity Employer Graham Healthcare Group The companies that comprise Graham Healthcare Group, a subsidiary of Graham Holdings Company (NYSE: GHC), include Residential Home Health and Hospice, Residential Healthcare Group, Allegheny Health Network-Healthcare @ Home, and Mary Free Bed at Home. Each company offers industry-leading care coordination, healthcare solutions, and clinical expertise with leading patient outcomes and satisfaction. Graham Healthcare Group is deeply committed to radically changing the home care model by putting patients and their families at the top of the paradigm, while enhancing the quality and consistency of healthcare in the most convenient and cost-effective setting possible: at home. California Worker Privacy Statement

Requirements

Associate degree or equivalent education and work experience required
Minimum of two (2) years of billing experience in the Hospice or Home Health industry
Medicare FISS (Fiscal Intermediary Standard System)/DDE (Direct Data Entry) and CHAMPS experience required
Extensive experience using clinical billing software and electronic claims submission
Knowledge of Hospice Medicare/Medicaid compliance
Strong computer knowledge
Experience navigating a computer network
Proficiency in Microsoft Office
Experience using web-DENIS
Experience using commercial billing software/websites
Proficiency in Medicare FISS/DDE system
Demonstrate patience, flexibility, and cooperative attitude
Conscientious with attention to detail
Ability to multitask and work independently
Excellent communication and organizational skills, verbal and written
Must have and maintain in good standing professional license, certificate, or registration, as applicable

Responsibilities

Bill for Medicare/Medicaid/Blue Cross and other commercial payors under Hospice guidelines
Review RTP claim errors, submit adjustment/correction claims, work 3rd-party rejections, and follow up on status of outstanding claims under Hospice guidelines
Bill commercial claims through Waystar and/or all other commercial payor portals
Ensure that NOE/NOTRs are filed on time for Medicare claims
Review Medicare claims in eSolutions & FISS/DDE for payment dates
Review ineligible & eligible billing reports and correct any issues prior to processing claims
Review A/R balances and ensure outstanding balances are being addressed
Review Medicare and 3rd-party aging reports and work claims daily
Update billing notes and follow up as required
Review all payor remits filed in OneDrive by Accounts Payable
Prepare and submit write-off/bad debt documentation to Hospice Billing Manager by monthly deadline for Revenue Cycle
Fax/Enter Medicaid Hospice enrollments/documentation as required by each individual state
Complete and submit HPF form to SNF within24 hours of admission
Cover department when another team member is ill or on vacation
Comply with Graham Healthcare Group’s Core Values and Core Competencies
Perform other duties as assigned