Job Details
Job Location: Cleveland County - Shelby, NC 28150
Position Type: Full Time
Travel Percentage: Negligible
Job Shift: Day
VIA Health Partners is an industry leader and top-10 nationally ranked provider of end-of-life care. More importantly we are proud to be a community based, not for profit hospice & palliative care provider. We have deep community roots, with decades of experience serving ALL patients’ and families’ needs regardless of their ability to pay or their medical complexity. We are a people first organization whose funds go to serve our mission.
Due to our significant growth, we are looking for amazing new staff who share these same values.
Benefits
- Medical, Vision, and Dental plans through BCBS
- 28 days of Paid Time Off
- Excellent mileage reimbursement rate
- 403b Retirement plan with matching
- Focused programs honoring Veteran patients
- Assistance with achieving Certified Hospice & Palliative Nurse (CHPN)
- Best Orientation and Onboarding program you’ve experienced
- Seasoned Hospice leaders guiding your career growth
Essential Functions
- Maintain positive relationships with facility billing staff. Respond timely and accurately to requests for information.
- Responsible for room and board workflows that verify a nursing facility patient’s eligibility for Medicaid pass through room and board.
- Enter information into the patient care system to ensure timely and accurate billing to Medicaid each month.
- Maintain the HART spreadsheets and reconcile those spreadsheets with the patient care system billing details before billing.
- Verify the PML for each patient each month and update in HART and the patient care system.
- Create and use monthly reports in preparation for billing.
- Posts the 5% contractual adjustment into the patient care system associated with Medicaid pass through room and board billing.
- Verify receipt of payment from Medicaid after billing has been completed.
- Research Medicaid denials and reach out to proper contacts, (inside/outside the organization) to get corrections needed for claims to be paid.
- Prices and codes nursing facility invoices for payment based on Medicaid payments received and what has been booked into liability schedules through the HART entry.
- Enters nursing facility invoices into accounting system A/P module (Stampli) for payment via check or ACH.
- Check pending Medicaid patients for retroactive coverage.
- Sort mail received at the Shelby office and route to the proper personnel.
- Maintain The Hospice Store log of receipts and prepare deposits to go to the bank.
- Other duties as required.
Minimum Qualifications
- Bachelor’s degree or the equivalent combination of education, technical certifications, training, or work experience. Working knowledge of automated accounting systems. Computer skills in Microsoft Office are required.
- Minimum of 5 years’ working experience with billing in a healthcare facility is preferred.