Revenue Cycle Coordinator - Faith Presbyterian Hospice

Faith Presbyterian Hospice

Revenue Cycle Coordinator - Hospice

ESSENTIAL DUTIES:
• Models a service attitude towards others, takes ownership in solving problems and takes the initiative to make things better, is friendly and courteous to residents, patients and co-workers
• Maintains accurate daily census reporting
• Ensure Certifications are signed by Physicians and confirm the certification and recertification days are correct and complete in the Hospice billing software
• Ensure Notice of Elections are sent to Medicare before the five day cutoff period
• Perform all aspects of private pay collections including, but not limited to, mailing statements, sending letters, making phone calls, attending weekly AR meeting to discuss unpaid accounts, processing balance refunds, posting adjustments and write offs, collections and appropriate follow-up with all questions related to private pay billing statements
• Work with various skilled nursing facilities and MDS Coordinators to verify resident levels
• Confirm Medicaid room and board rates and Applied Income into Hospice billing system on a monthly basis
• Confirm accuracy of nursing facility and hospital payments and contact if necessary (Medicaid room and board); Access TMHP to pull MESAVE and synchronize with billing
• Collaborate with Intake /Admissions department to clear error report in Hospice billing system
• Team with Admissions to ensure insurance verification and room and board is set-up correctly
• Communicate all insurance correspondences to the billers
• Team with Admissions to verify patient responsibility
• Generate an accurate month end pharmacy census by patient report to send to appropriate pharmacy and upload the pharmacy file into the Hospice billing system
• Serve as in-house expert for Hospice billing software and provide user support as needed
• Create monthly invoices for Physician Billing and Palliative Care Program
• Scan deposits and/or take cash and other monies to bank as needed
• Track cash deposits and submit daily activity to the biller
• Handle and interpret A/R billing questions and assist with A/R reports as assigned
• Assist biller with researching and reconciling past due balances as necessary
• Perform month end close procedures timely and accurately
• Review month-end prebilling for accuracy and completeness
• Maintain all information in billing software to ensure all revenue generated is accurate
• Keep current with changing needs and requirements of hospice by attending continuing education courses and reading related periodicals
• Cross-train with other positions in Accounting to provide coverage and understand overall functions of department
• Act as vendor and facility contracts liaison to monitor and maintain up-to-date contracts
• Other duties as assigned

MINIMUM QUALIFICATIONS:
• Associate's Degree in Accounting or 2-4 years previous billing experience, as well as knowledge of collection procedures
• Experience in hospice billing: Medicare, Medicaid, Insurance, and Private Pay insurance related to hospice preferred
• Experience in computerized accounting systems, standard software (e.g. Excel, Word, PowerPoint, Outlook), and general computer usage
• Experience with hospice billing software
• Excellent verbal and written communication skills, including ability to read, write, and speak English
• Ability to prioritize and balance competing projects/tasks in a demanding, fast-paced environment
• Maintains pleasant, caring, and compassionate demeanor in stressful situations
• Ability to relate positively, effectively and appropriately with residents, families, community members, volunteers and other facility staff
• Ability to understand and explain A/R billing statements to all concerned
• Self-starter with aptitude for following through on details and resolving discrepancies
• Ability to perform Essential Duties as outlined below
• Ability to perform work tasks within the Physical Demand Requirements as outlined below
• Ability to comply with the Patients’ Bill of Rights and the Employee Responsibilities
• Ability to comply with organizational and departmental safety policies and procedures