Medical Accounts Receivable (A/R) Coordinator-Hybrid

Hospice of the Western Reserve•Cleveland, OH

1d•Hybrid

About The Position

The Hospice Accounts Receivable (A/R) Coordinator plays a critical role in ensuring accurate and timely reimbursement for hospice services. This position is responsible for managing the full A/R lifecycle, including claim submission, payer follow-up, denial resolution, and cash reconciliation. The A/R Coordinator works closely with internal departments and external payers to investigate, resolve, and collect on outstanding accounts, while adhering to regulatory billing guidelines and payer-specific requirements.

Requirements

Three (3) or more years’ experience with A/R follow up and electronic medical records preferred.
High school diploma required.
Proficient in Microsoft Word, Excel, and Outlook.
Ability to compose and type business correspondence.
Knowledge of Medicare, Medicaid, Managed Care and Commercial reimbursement processed preferred.
Strong analytical and problem-solving skills with the ability to investigate reimbursement issues and identify root causes of denials.
Must be detail oriented and be able to work in a fast-paced environment.
Must demonstrate strong customer service and communication skills.
Flexibility to work both independently and in a team environment.
Compliance to Annual Flu Shot Policy or ability to provide exemption documentation
Ability to provide proof of eligibility to work in the United States.
High level of integrity, ethics and professionalism.

Nice To Haves

Three (3) or more years’ experience with A/R follow up and electronic medical records preferred.
Knowledge of Medicare, Medicaid, Managed Care and Commercial reimbursement processed preferred.

Responsibilities

Ensure Accounts are thoroughly worked before escalation or write-off consideration.
Investigates and verifies patients’ medical insurance benefits when benefits change
Review and confirm payments posted match contractual and expected reimbursement.
Identify denial trends.
Identify Rood causes of denials and recommend actions.
Performs pre-billing functions according to established procedures
Verifies completeness of claims and correct billing errors prior to submission.
Follow-up on patient accounts per established procedures.
Documents all follow-up on patient accounts in billing comments section in the electronic medical record.
Prepares Billing Adjustments and Payment Adjustments according to established procedures.
Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer.
Interacts with patients/families regarding medical insurance benefits and reimbursement of services.
Demonstrates effective Service Excellence skills according to agency standards.
Works collaboratively with Revenue Cycle team members and other appropriate Hospice of the Western Reserve staff to ensure reimbursement of all services.
Assists in the continued development of the verification, and reimbursement processes.