Hospice Payables Coordinator I

Enhabit Home Health & Hospice•Hoover, AL

1d•Onsite

About The Position

The Hospice Payables Coordinator is responsible for processing all outside patient related invoices to include verification of invoice data, transmission of the appropriate approval to accounts payable for check processing, and the accurate processing of any denials. This position ensures proper payment of hospice related services at the contracted or Medicare allowable rates. Also responsible for communicating any denials, and will provide appropriate education to the vendor.

Requirements

High school diploma or equivalent.
Demonstrated use of a 10-key and be able to type 60 words per minute.
Demonstrated experience with medical terminology and data entry.
Oral communication, written communication, fluency in English, active listening.
Demonstrated intermediate technology skills. Especially Microsoft office, including word and excel.
Required to have and maintain a valid state driver license in the current state of residence
Required to have and maintain automobile liability insurance, as required by law

Nice To Haves

An associate degree in accounting, business, or related field is preferred.
A certification in billing or medical terminology is preferred.
Two years experience in Medicare or other insurance billing, coding, and related billing tasks is preferred.

Responsibilities

Monitor all systems for invoices and properly mark as received; email, fax, and postal mail.
Verify data is appropriately listed on all invoices; patient name, dates of services, diagnosis, and contracted rates or Medicare rates.
Evaluate data to determine appropriate payment status; communicate follow up, as needed.
Research Homecare Homebase referral documents, clinical notes, physician orders, and coordination notes to make an informed decision on each invoice status.
Determine if invoice is related to hospice; if unclear, consult resources and branch leadership, include clinical staff such as medical director or nurse practitioner as necessary.
Communicate improper invoices to hospice billing leadership.
Process each invoice within 10 calendar days of receipt; report and document outliers to hospice billing leadership, as necessary. Ensure invoices over 10 calendar days of receipt of kept on top of desk in appropriate file.
Process and properly document each assigned inquiry; utilize back up documentation, Worldview, and other resources as needed.
Answer questions from branch office staff, patients, caregivers, and payor source representatives; use excellent customer service skills.
Complete follow up calls, as directed; maintain a high level of professionalism.
Identify issues related to processing delays or improper payments; immediately discuss with hospice billing and branch leadership, as needed.
Maintain positive relationships with vendors, payors, referral sources, and branch leadership; maintain excellent communication, education, and follow up.
Answer central phone line at least twice daily.
Demonstrate qualifications and competencies consistently and reliably.
Complete all other duties as assigned.