Hospice Medicare Billing & Collections Representative

Chapters Health System; Temple Terrace (FL); On-site; USD 35,000 - 55,000; Full time

Job summary

Join a compassionate team dedicated to providing exceptional patient care and customer service in the community. As a Billing and Collections Representative, you'll play a vital role in managing third-party claims and ensuring smooth operations. This position offers the opportunity to make a significant impact while working in a supportive environment that values your contributions. If you're self-motivated and possess strong communication skills, this is the perfect opportunity for you to grow and thrive in your career.

Qualifications

• Minimum of one year of medical billing and collection experience.
• Knowledge of third-party billing and collection regulations preferred.

Responsibilities

• Prepare and submit accurate billing to third-party payors.
• Identify and resolve billing clearinghouse rejections.
• Handle customer service calls to resolve accounts.

Skills

Medical Billing Experience

Collections Experience

Knowledge of Third-party Billing

Excellent Communication Skills

Data Entry Skills

Self-motivated

Education

High School Diploma or GED

Job description

Hospice Medicare Billing & Collections Representative

Apply locations: Temple Terrace, FL

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 submitting third-party claims, managing denials, and resolving accounts.

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 multitask 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 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 organizational, departmental, and individual levels.
• Enhance professional knowledge and skills.
• 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.

Job Responsibilities:

• Prepare and submit accurate billing to third-party payors and self-pay invoices.
• Identify and resolve billing clearinghouse rejections.
• Conduct root cause analysis on unpaid accounts receivable (AR) and resolve with third-party payors.
• Analyze and resolve credit balances.
• Handle incoming and outgoing customer service calls to third-party payors, outside providers, and patients/guarantors to resolve accounts.
• Process correspondence.
• Initiate and resolve technical denial appeals.
• Identify payor denial and cash fluctuation trends and escalate as appropriate.
• Perform other duties as assigned.

This position requires consent to drug and/or alcohol testing after a conditional offer of employment and ongoing compliance with the Drug-Free Workplace Policy.