Medicare/Medicaid Insurance Lead

VITAS Healthcare•Miramar, FL

6d•Onsite

About The Position

Responsible for assisting the Revenue Cycle staff with all billing and collection functions as assigned. This will include assuming the lead role of the staff and the performance of those duties associated with the hands-on billing and collection of accounts receivable. Assists the Revenue Cycle Management team with the planning, implementing, reporting, and reviewing all activities required for an efficient and effective receivable management system.

Requirements

Three to five years prior Revenue Cycle experience preferably in a lead role
Medicare experience required for Lead Medicare role
Medicaid experience required for Lead Medicaid role
Excellent communication and analytical skills
Ability to work on various assignments simultaneously
Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions.
Working knowledge of computers, internet access, and the ability to navigate within an automated purchasing system as well as various software packages such as Outlook, Excel and Word.

Nice To Haves

Knowledge of automated accounting systems preferred.

Responsibilities

Rotate through the Billing and Collections areas to develop an understanding of accounts receivable and how each area functions. This includes performing direct hands-on billing and collection functions.
Learn all aspects of Medicare billing and be able to perform those duties necessary to train both corporate Billing and Collections staff and the Hospice Staff.
Work with the various Insurance billing and collection staff to understand the various requirements for the multiple insurance carriers.
Understand the electronic billing process and become capable of assisting the staff in this area as needed.
Work with the credit balance report and be able to identify billing/posting errors and make any necessary corrections.
Assist in the monthly reconciliation process of the programs receivables, revenue, days of care, and monthly financial reporting.
Assist the hospice staff with census and/or billing corrections. Serve as a primary resource person to answer questions concerning billing and collection issues.
Provide training for the Corporate and Hospice Staff in all areas of Billing and Collections and system utilization as needed.
Assist with the completion of special Revenue Cycle projects as needed.
Work with the various Medicaid billing and collections staff to understand the various requirements for each State Medicaid program.
Determines work procedures, prepares work schedules, and expedites workflow.
Issues written and oral instructions to employees.
Studies and standardizes procedures to improve efficiency of subordinates.
Attends meetings, training activities, courses and all other work-related activities as required.
Performs related duties as required.