Hospice Billing Specialist – Meaningful Impact, PTO

Crossroads Hospice; Green (OH); On-site; USD 38,000 - 50,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k

PTO

Job summary

Crossroads Hospice & Palliative Care in Ohio is seeking a Billing Coordinator to manage referrals, verify eligibility, and process claims using billing software. You will review bills, handle denials, and follow up on unpaid accounts, working with insurance payers and patients to ensure accurate billing.

The role requires a high school diploma, 1–3 years in a medical office, and knowledge of Medicare/Medicaid and payer requirements. Monday–Friday, 8:30 AM–5:00 PM, with health benefits and 401k.)

Qualifications

• High school diploma.
• Associate degree in Business Administration, Accounting, or Health Care Administration preferred.
• 1–3 years of experience in a medical office setting.
• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
• Knowledge of accounting and bookkeeping procedures.
• Knowledge of medical terminology likely to be encountered in medical claims.
• Customer service skills for interacting with patients regarding medical claims and payments, including diverse ages and backgrounds.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

Responsibilities

• Obtain referrals and pre-auths as required for procedures.
• Check eligibility and benefit verification.
• Review patient bills for accuracy and completeness and obtain missing information.
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.
• Follow up on unpaid claims within standard billing cycle timeframe.
• Check each insurance payment for accuracy and compliance with contract discount.
• Call insurance companies regarding any discrepancy in payments if necessary.
• Identify and bill secondary or tertiary insurances.
• All accounts reviewed for insurance or patient follow-up.
• Research and appeal denied claims.
• Answer all patient or insurance inquiries pertaining to assigned accounts.
• Set up patient payment plans and work collection accounts.
• Update billing software with rate changes.

Skills

Customer service

Communication

Problem-solving

Attention to detail

Education

High school diploma

Associate degree in Business/Accounting/Healthcare Administration

Tools

Billing software

Job description

Crossroads Hospice & Palliative Care in Ohio is seeking a Billing Coordinator to manage referrals, verify eligibility, and process claims using billing software. You will review bills, handle denials, and follow up on unpaid accounts, working with insurance payers and patients to ensure accurate billing.

The role requires a high school diploma, 1–3 years in a medical office, and knowledge of Medicare/Medicaid and payer requirements. Monday–Friday, 8:30 AM–5:00 PM, with health benefits and 401k.)