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Medical Biller

Company: Bristol Hospice
Location: Salt Lake City
Posted on: November 23, 2021

Job Description:

The Reimbursement Specialist I is responsible for the accurate and timely completion and submission of Medicare, Medicaid, private payer and patient billing, and accounts receivable tracking and follow-up. REQUIRED EDUCATION & EXPERIENCE: * At least one year of previous hospice care related billing experience preferred * Knowledge of insurance reimbursement and authorization process preferred * Skilled in the use of computers and the Microsoft Office applications * HealthWyse and/or HealthCare System knowledge is preferred * Medical Billing Certificate preferred REQUIRED KNOWLEDGE, SKILLS & ABILITIES: * Ability to learn and use computer systems and software * Must be detailed oriented and have strong organization skills * Must be able to type 50 wpm * Must be able to pass a criminal background check and drug screening * If required to travel between locations, must have a valid drivers license and proof of insurance * Must be able to work under tight deadlines and under sometimes stressful situations OTHER REQUIREMENTS: * Must be able to travel * Willingness to maintain comprehensive working knowledge regarding information systems and applicable software programs ESSENTIAL FUNCTIONS: * Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met * Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition * Weekly generation of all Medicare/Medicaid, Private Insurance and Self Pay revenue and resolution of batch errors and bill holds as appropriate * Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue for assigned sites and all payer team members as needed * Prepare and submit invoices to Accounts Payable for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners when applicable * Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines * Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing * Ensure all internal controls and related policies/procedures are implemented and followed in accordance to the accounts receivable requirements * Ensure all payer requirements are met accordingly, including pre-cert requirements, Medicare notification requirements, and level of care change required documents BENEFITS & COMPENSATION: * Competitive salary commensurate with experience * Medical, Dental, Vision, Life Insurance & more * HSA and 401(k) available * Tuition Reimbursement * Paid Holidays & PTO

Keywords: Bristol Hospice, Salt Lake City , Medical Biller, Healthcare , Salt Lake City, Utah

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