Regional Accounts Receivable

Integritus Healthcare•Greenfield, MA

3d•Onsite

About The Position

Come join this collaborative and innovative team. At Integritus Healthcare, you will enjoy WEEKLY pay, generous time off, exceptional health insurance, and the ability to grow in your career. Ready to love working again and be proud of where you work? Do you want to be valued and have an opportunity to make a meaningful impact? If you answered ‘yes,’ we can’t wait to introduce you to our team of dedicated, caring professionals. Join one of the largest post-acute health care systems across Massachusetts, committed to fulfilling the health and residential needs of the population in the communities we serve.

Requirements

Minimum of two (2) years of experience in a health care setting
High School education required.
Valid driver’s license
Demonstrates excellent written and oral communication skills and public relations skills.
Excellent computer skills.
Ability to collaborate to resolve EHR/Billing issues within regulatory and system operational confines.
Ability to organize and develop processes to meet organizational revenue collection needs.

Nice To Haves

hospice and/or volunteer experience preferred.
College degree in a related field preferred.

Responsibilities

Lead for Wellsky non-clinical system operation and claim error resolution.
Annual Hospice reimbursement rate update communication with contracted facilities.
Responsible for maintaining confidentiality of patient information.
Review and edit generated home health, hospice and palliative care claims for accuracy, errors or discrepancies, prior to submission for payment
Review and edit home health, hospice and palliative care claim for correct coding as required.
Resolve home health, hospice and palliative care claim errors and warnings, prior to submission for payment
Review and revise home health, hospice and palliative care claims, "returned to provider" and "rejected" by payer source and re-submit to billers for re-submission to payer source
Review home health, hospice and palliative care claims that have been denied and determine appropriate appeal/adjustment/action needed to re-submit for payment
Track and submit OASIS assessment to iQies portal and communicate any corrections to Home Health Branch Manager
Enter new payers and coinciding rates for home health, hospice or palliative care
Review fee schedules for home health, hospice and palliative care and as necessary adjust/update contractual rates in EHR
Provide final verification of home health, hospice and palliative care patient insurance coverage prior to claim submission
Resolution of Notice of Election denials for Medicare Hospice patients
Resolution of Notice of Admission denials for Medicare Home Health patients
Verify appropriate updates/changes to facility room and board rates for hospice patients, including patient pay amounts, to ensure proper MassHealth claim generation prior to submission
Communicates effectively with patients, families, vendors and staff.
Responsible for assisting with audits as necessary.
Input and/or correction of data into EHR for billing purposes
Other duties as assigned by the Executive Director(s), Branch Manager and/or Management Team.