Billing Specialist - Hospice

The Billing Specialist performs billing and accounts receivable recording, reporting and collecting for Medicare, Medicaid, Private Insurance and Private Pay. Negotiates with Private Insurance companies. Also assists with billings for the Medical Director, Physician services, Estates, Nursing Home Room & Board, Nursing Home Room & Board patient responsibility, Caregiver, Extended Care and any other available revenue sources. Responsible for approval and coding of patient care invoices. To be cross-trained in various accounting functions and knowledgeable of the computer system. 

 Hours on this position:     Monday through Friday (8) hour work day. This is not a virtual position. 

DUTIES:  

• Assists with monthly billing for all revenue sources within 4 working days of previous month-end. Submits billings electronically as deemed allowable. 
• Assists with monthly activity log data entry into the patient care software system. 
• Accurate data entry must be completed within 7 working days of the previous month-end. 
• Assists with posting bills, cash received, and adjustments related to designated accounts to the patient care software system. All information is posted accurately and in a timely manner.  
• Provides back-up as necessary to the Director of Revenue Management. 
• Performs all other accounting/billing related duties with accuracy as assigned by the Director of Revenue Management or CFO accurately and within the established time frame. 
• Reviews patient care invoices for accuracy and validity against services provided or medical supplies received. Adjusts invoices for Medicare/Medicaid allowable  
• (per contract stipulations) and codes for timely payment processing. Exercises good judgment in this review process. 
• Reviews and understands contracts that apply to the areas and entities in the billing process. 
• Completes insurance verification, including coverage and benefits. Initiates Case Management process on patient’s requiring authorization codes. 
• Monitors authorization periods to ensure continued authorization of Hospice care. Assists with creation, maintenance and review of billing files, including a log of follow-up actions taken. 
• Corresponds with providers as necessary to process payment or denial of charges. 
• Ensures non-budgeted expenses (including overtime) are submitted to the Billing Supervisor for justification. 
• Maintains records within a confidential and organized filing system. 
• Assures all documents are reviewed by the Director of Revenue Management or CFO before leaving the Finance department. 
• Demonstrates a desire to set and meet objectives and to find increasingly efficient ways to perform tasks. 
• Completes work and documentation with accuracy within agency time frames. 
• Requires minimal supervision and is self-directed. 
• Maintains adequate knowledge of accounting and government guidelines to perform duties efficiently and correctly.  

Qualifications 

High school diploma required. 

Minimum two years of applied experience in billing, health care field preferred. 

Knowledge of Medicare, Medicaid and Private Insurance billing regulations preferred. 

Intermediate computer skills required. 

Demonstrated accurate use of a 10-key calculator. 

Must possess good communication skills and interpersonal skills. 

Valid Florida driver’s license and required auto liability insurance  

  BENEFITS:   

• Competitive Compensation,  
• Full benefits package,  
• 403 (b) plan match,   
• Generous PTO,  
• Tuition Reimbursement program, and  
• Learning resources to be successful in your career, plus more!   

Cornerstone Hospice & Palliative Care is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived, race, religion, color, sex (including pregnancy and gender identity), sexual orientation, parental status, national origin, age, disability, family medical history or genetic information, political affiliation, military service, any other non-merit based factor or any other characteristic protected by applicable federal, state or local laws. Our leadership team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. If you’d like more information about your EEO rights as an applicant under the law, please click here: http://www1.eeoc.gov/employers/poster.cfm