Graham Healthcare Group

Post-Acute Excellence. Together.

Hospice Billing Analyst

Billing SpecialistBilling SpecialistFull TimeRemoteTeam 501-1,000Since 2003H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

18 days ago

Salary

Not specified

High School1 yr expEnglish

Job Description

• Support the Team Lead and Billing Supervisor to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients. • Monitor claims for timely processing of payments and rejections and work on Accounts Receivable (A/R) weekly. • Bill for Medicare/Medicaid/Blue Cross and other commercial payors under Hospice guidelines • Complete/update room & board admissions/discharges in CHAMPS, Medi System • Complete Illinois Medicaid & Managed Medicaid Enrollments/Discharges and submit to the State of Illinois • Obtain Medicaid rate letters from facilities when rates are updated • Update room and board rates in HCHB as required • Process workflow in HCHB to set up room and board • Develop and maintain relationships with skilled nursing facilities (SNF) • Complete and submit HPF form to SNF within 24 hours of admission • Manage monthly Medicaid billing for SNFs • Communicate directly with Sales Team when SNF invoice payments are being held • Monitor monthly Medicaid eligibility and maintain PPA updates • Review unbilled reports for Medicaid and commercial room and board claims weekly • Review Blue Cross 5th Level Claims in web-DENIS for payment dates • Create and review room and board/respite invoices for accuracy • Submit reviewed room and board/respite invoices to SNF for their review, obtain signatures, and correct any discrepancies • Submit room and board invoices to AP, adhering to deadline date • Review revenue and expenses related to room and board to ensure that payments sent to facilities tie to the payments received by the insurance carrier and the accounting system • Update billing notes and follow up as required • Review all payor remits filed in OneDrive by Accounts Payable • Prepare and submit write-off/bad debt documentation to Hospice Billing Manager by monthly deadline for Revenue Cycle • Work closely with AP department to resolve payment issues • Perform claims adjustment/correction in CHAMPS, Medi, Waystar, web-DENSI, and commercial payor web portals.

Job Requirements

  • High School education or equivalent
  • Minimum of one (1) year billing experience in the Hospice or Home Health industry
  • Medicare FISS (Fiscal Intermediary Standard System)/DDE (Direct Data Entry) and CHAMPS experience preferred
  • Experience using clinical billing software and electronic claims submission
  • Knowledge of Hospice Medicare/Medicaid compliance
  • Strong computer knowledge
  • Experience navigating a computer network
  • Proficient in Microsoft Office
  • Experience using web-DENIS
  • Experience using Commercial billing software/websites
  • Demonstrate patience, flexibility, and cooperative attitude
  • Conscientious with attention to detail
  • Ability to multitask and work independently
  • Excellent communication and organizational skills, verbal and written.

Benefits

  • Competitive Pay: With opportunity for advancement
  • Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
  • Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
  • Generous PTO Packages.
  • Retirement: Save for your future with our company offered 401k plan and pension.
  • Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.

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