Accounts Coordinator

Karen Ann Quinlan Hospice; Newton (NJ); On-site; USD 22,000 - 32,000; Full time

Benefits offered by this job

401K

Tuition reimbursement

Dental and Vision

Paid time off

Job summary

Karen Ann Quinlan Hospice is seeking a Billing Specialist to support insurance verifications, authorizations, and accurate documentation in the EMR.

You will handle billing for commercial referrals, posting payments, and accounts receivable, while coordinating with Patient Care and Social Services to ensure HOPE and discharge records are complete.

Attention to detail and ability to use Medicare systems, Enclara/Dragonfly Pharmacia census, and reference billing guidelines are essential.

Qualifications

• Verifications for referrals using Medicare system and online tools.
• Accurate documentation in EMR systems.
• Billing and collections processes for commercial referrals.

Responsibilities

• Insurance verifications for all referrals using Medicare system, internet and phone.
• Prepare authorizations and benefit letters for commercial referrals.
• Data entry in Enclara/Dragonfly Pharmacia census; update admits/discharges.
• Billing collections for commercial insurance claims with regular follow-up.
• Verify consents for admissions and ensure accurate EMR data.
• Complete discharge HOPE records and submit HOPE files.
• Post payments and pull remits for EFT payments.
• Coordinate with Patient Care and Social Services on insurance information.
• Resolve outstanding hospice billing and accounts receivable.
• Maintain cash sheets with daily deposits.

Skills

Insurance verifications

EMR documentation

Data entry

Billing and collections

Liaison with care teams

Tools

EMR system

Enclara/Dragonfly Census

Job description

Compensation: $19.50 per hour

Schedule: M-F 830a-430p

Medical/Medical stipend, Dental Vision, benefit time, 401K, Tuition reimbursement.

Schedule M-F 830a-430p. Some weekends.

• Insurance verifications for all referrals. Use of Medicare system, internet and phone calls to obtain information. Provide accurate and detailed documentation in EMR.
• Authorizations and benefit letters for commercial referrals. Daily, Monthly or Annually benefit reverifications or as benefit years require.
• Daily Enclara/Dragonfly Pharmacia data entry: keeping Enclara/Dragon Pharmacia census up to date with new admits, discharges, and reviewing accurate invoicing.
• Collections for all commercial insurance claims, including regular follow up and detailed progress notes
• Verify/track signed consents for all admissions, discharge forms for all discharges. Review all admissions for accurate data in EMR.
• Completes nursing home authorizations for R&B
• Complete all discharge HOPE records.
• Submit all HOPE records. Work with the clinical staff to ensure all HOPE files are complete and correct
• Payment posting for all commercial payments. Pull remits for EFT payments.
• Track and Record all Hospice patient Medical Directors certificates.
• Act as liaison with Patient Care, Social Services, and A/P to coordinate patient insurance information
• Manage and resolve outstanding Hospice Commercial billing
• Manage and resolve outstanding accounts receivable for Palliative Care services.
• Update Cash sheets and Cash Journal with daily bank deposits.
• General office assistance, preparing and maintaining patient billing files, filing, and photocopying.
• Primary filing of NOEs
• Promptly report complex situations, discrepancies, or concerns to the Billing Supervisor
• Participates in all required in service education programs and meetings.
• Demonstrates compliance with the dress code policy by appearing well groomed, wearing ID badge while on duty and maintaining a professional appearance.
• Performs other duties as assigned.