Billing Specialist

AdamsPlace is seeking a Billing Specialist to manage patient billing processes and ensure timely payments. The role involves generating clean claims, following up on payments, and maintaining accurate billing files.

Responsibilities

• Prepares and maintains patient billing files
• Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program
• Participates in the quality program (IOP)
• Reviews and edits claims prior to billing to ensure accurate and clean claim submission
• Meets all billing and accounts receivable deadlines
• Prepares and distributes unsubmitted billing list to appropriate personnel weekly
• Reviews all remittance advices for contractual adjustments, withholds and bad debt. Attaches documentation for justification, as needed
• Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary
• Documents all accounts receivable follow-up and maintains in patient billing file
• Prepares and bills Medicare Secondary Payer claims through the Fiscal Intermediaries direct data entry program
• Reviews and edits claims in claims correction section of on-line system to ensure on-going processing for payment via direct data entry, daily
• On a quarterly basis and upon signature by the Director of Operations/Reimbursement, prepares and sends to Fiscal Intermediary Medicare, credit balance reports for each Hospice office
• Responsible for taking and processing of referrals, when needed
• Responsible to supervise Billing, Referral Intake and Scheduling personnel in the absence of the Director of Operations/Reimbursement
• Maintains branch locations monthly unbilled if assigned
• Reports any ADR’s to Compliance Officer and Regional Director of Clinical Care

Skills

• High school graduate or the equivalent preferred
• Must be experienced with PC's and be familiar with common office software, such as Microsoft office and spreadsheets, etc
• Must be well organized and detail-oriented
• Must be able to communicate articulately and comprehend written and verbal communications

Benefits

• Competitive Pay
• Eligible for benefits within 60 days
• Health Benefits (Medical, Dental, Vision); health savings account
• Earned Time Off
• 401 (K) plan with company match
• Paid Training
• Mileage Reimbursement
• Tuition Reimbursement
• Flexible Scheduling
• Career Advancement Opportunities

Company Overview