Reimbursement Specialist II
About The Position
Make a meaningful impact behind the scenes. Join our team as a Reimbursement Specialist I, where you'll play a vital role in ensuring the accuracy and timeliness of Medicare, Medicaid, private payer, and patient billing. In this role, you’ll oversee the full revenue cycle process - from claim submission to accounts receivable tracking and follow-up helping support the financial health of our organization and the care we provide. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values: Integrity: We are honest and professional. Trust: We count on each other. Excellence: We strive to always do our best and look for ways to improve and excel. Accountability: We accept responsibility for our actions, attitudes, and mistakes. Mutual Respect: We treat others the way we want to be treated.
Requirements
- Must have three (3) years of experience in health care billing/training, preferably in a hospice care system
- Must have one (1) year of previous hospice care related billing experience
- Knowledge of insurance reimbursement and authorization process preferred
Nice To Haves
- Medical Billing Certificate preferred
Responsibilities
- Perform daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met
- Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition
- Generate weekly list of all Medicare/Medicaid, Private Insurance and Self Pay revenue and resolution of batch errors and bill holds as appropriate
- Provide weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue for assigned sites and all payer team members as needed
- Prepare and submit invoices to accounts payable for reimbursement and perform follow up to ensure accurate, timely payments are made to our facility partners when applicable
- Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines
- Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing
- Ensure all internal controls and related policies/procedures are implemented and followed in accordance to accounts receivable requirements
- Assist with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the billing director of seriously overdue accounts
- Maintain admission and readmission deadlines to meet sequential billing deadlines
- Submit/oversee submission of Medicare Notice of Elections Intermediary submission timelines
- Other duties as assigned
Benefits
- Tuition Reimbursement
- PTO and Paid Holidays
- Medical, Dental, Vision, Life Insurance, and more
- HSA & 401(k) available
- Mileage Reimbursement for applicable positions
- Advanced training programs
- Passionate company culture committed to the highest standard of care in the hospice industry
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
