Hospice Medicare Billing and Collections Representative

Chapters Health System; Florida; On-site; USD 25,000 - 38,000; Full time

Job summary

Chapters Health System in Florida is seeking a Billing and Collection Representative responsible for processing and submission of third party claims, denial management, and account resolution.

The role requires attention to detail, teamwork with payors, patients and providers, and adherence to state and federal regulations. The position offers competitive pay and benefits with opportunities for growth within our Florida affiliates.

Qualifications

• High School Diploma or GED.
• Minimum of one year of medical billing and collection experience.
• Knowledge of third party billing and state and federal collection regulations preferred.
• Ability to prioritize and multi-task independently with little supervision.
• Must be self-motivated and service oriented.
• Excellent written and verbal communication skills.
• Accurate typing and data entry skills.

Responsibilities

• Prepares and submits accurate billing to third party payors and self-pay invoices.
• Identifies and resolves billing clearinghouse rejections.
• Conducts root cause analysis on unpaid accounts receivable and resolves with third party payors.
• Analyzes and resolves credit balances.
• Handles incoming and outgoing customer service calls to third party payors, providers and patients/guarantors to resolve accounts.
• Initiates and resolves technical denial appeals.
• Identifies payor denial and cash fluctuation trends and escalates as appropriate.
• Performs other duties as assigned.

Skills

Excellent written and verbal comms

Prioritize and multi-task

Self-motivated and service oriented

Accurate typing and data entry

Education

High School Diploma or GED

Job description

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing! When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Role:

The Billing and Collection Representative is responsible for processing and submission of third party claims, denial management, and account resolution.

Qualifications:

• High School Diploma or GED
• Minimum of one (1) year of medical billing and collection experience
• Knowledge of third party billing and state and federal collection regulations preferred
• Ability to prioritize and multi-task independently with little supervision
• Must be self-motivated and service oriented
• Excellent written and verbal communication skills
• Accurate typing and data entry skills

Competencies:

• Satisfactorily complete competency requirements for this position.

Responsibilities of all employees:

• Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• Comply with Company policies, procedures and standard practices.
• Observe the Company's health, safety and security practices.
• Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• Use resources in a fiscally responsible manner.
• Promote the Company through participation in community and professional organizations.
• Participate proactively in improving performance at the organizational, departmental and individual levels.
• Improve own professional knowledge and skill level.
• Advance electronic media skills.
• Support Company research and educational activities.
• Share expertise with co-workers both formally and informally.
• Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

Job Responsibilities:

• Prepares and submits accurate billing to third party payor’s and self-pay invoices.
• Identifies and resolves billing clearinghouse rejections.
• Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor’s.
• Analyzes and resolves credit balances.
• Handles incoming and outgoing customer service calls to third party payor’s, outside providers and patients/guarantors to resolve and achieve account resolution.
• Processes correspondence.
• Initiates and resolves technical denial appeals.
• Identifies payor denial and cash fluctuation trends and escalates as appropriate.
• Performs other duties as assigned.

Compensation Pay Range:

Pay Range: $18.43 - $27.43

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy. All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.

As a progressive leader and premier health organization, Chapters Health System is dedicated to delivering innovative care throughout chronic illness progression and beyond. Since 1983 as a community-based, not-for-profit organization, Chapters Health has provided choices, education and guidance through its managed affiliates: Capital Caring Health, Chapters Health Foundation, Chapters Health Hospice, Chapters Health Pharmacy, Chapters Health Staffing, Cornerstone Hospice & Palliative Care, Good Shepherd Hospice, Hope Healthcare, Hospice of Okeechobee, HPH Hospice and LifePath Hospice. Chapters Health offers services throughout the Southeast and Mid-Atlantic regions of the country to improve the patient/family experience well in advance of end-of-life needs.

Chapters Health and its affiliates are licensed in Alachua, Arlington, Bradford, Charlotte, Cherokee, Citrus, Cobb, Collier, Columbia, District of Columbia (all eight wards), Dixie, Fairfax, Fauquier, Fayette, Forsyth, Fulton, Gilchrist, Glades, Gwinnett, Hall, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Howard, Lafayette, Lake, Lee, Levy, Loudoun, Marion, Martin, Miami-Dade, Monroe, Montgomery, Okeechobee, Orange, Osceola, Pasco, Pinellas, Polk, Prince George’s, Prince William, Putnam, St. Lucie, Sumter, Suwannee and Union counties.

It is the policy of the Organization to provide equal employment opportunities to all employees and applicants for employment. The Organization(s) complies with all civil rights laws and other federal, state and local fair employment laws that prohibit any unlawful employment practices including harassment and discrimination based on race, color, religion, gender, national origin, age, physical or mental disability, marital status, pregnancy, genetic information, status as a covered veteran, sexual orientation, or any other characteristic protected by law. Employment decisions, including hiring and promoting, are based on merit, qualifications, abilities and business needs. This policy applies to all terms and conditions of employment in accordance with applicable federal, state and local laws.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.