Hospice & Palliative Care of Washington County
Medical Billing Clerk
Hospice & Palliative Care of Washington County ( www.hospicewc.org ) has the reputation and community trust that comes from 30 years of providing excellence in end-of-life care, education and bereavement services to thousands of families. We recognize the unique medical, emotional and spiritual needs of each patient and family member. Our programs and services are designed to honor choice and dignity, and to provide comprehensive patient and family care.
As an employee of Hospice and Palliative Care of Washington County (HPCWC), a not-for-profit, community-based organization, you will be part of a mission driven organization focused on making the lives of individuals and families coping with life limiting illnesses better. You will be part of a team of professionals and volunteers delivering quality, compassionate care to individuals in a variety of care settings. You will serve patients and families with colleagues and care partners who work collaboratively and creatively to make a difference every day. As a member of the HPCWC team you will be engaged in shaping the future of palliative (comfort) care.
The purpose of this position is to ensure accurate and timely billing and appropriate, complaint reimbursement for all services rendered by the organization from Medicare, Medicaid, TriCare, HMOs, PPOs, other insurance companies as well as from private individuals. This includes accurate and timely identification, registration, billing, payment posting, completing contractual writer-offs, and follow-up and collection of unpaid accounts per state and federal regulations for individuals receiving services from the organization. Performs functions associated with the agency's accounts receivable, including billing, management of accounts receivable, collections, and educating staff regarding requirements to successfully collect AR.
Schedule: Part-Time (16 hours/week)
Wage: $14.12 - $21.18/ hour (depending on experience)
Submit accurate, timely and compliant bills to Medicare, Medicaid, insurance companies and individuals.
Verify beneficiary eligibility for Medicaid, Medicare and TriCare for services provided or service to be provided by HPCWC.
Assure accuracy of billing information by validating data against the medical record and input from clinical staff.
Act as effective liaison with payers and the Admissions department related to referrals, authorizations, and payments to ensure clear communication and efficient processes.
Research, collect, and coordinate any follow up documentation required by insurers.
Produce monthly report of AR showing activity toward reducing aged balances; Contribute to required reporting activity to Medicare or for audit purposes.
Reconcile open cases, and follow up on all unpaid aged accounts in accordance with department standards. Consults with manager on decision to accept or dispute payments from insurance payers, State and Federal agencies.
Identify and resolve credit balances, making online adjustments and processing refunds when appropriate.
Cross-train with other billing and financial staff and shares workload during volume peaks.
Perform collection effort and collection calls on all assigned payers.
May assist with month-end closing processes as relates to AR and Billing
Maintain patient confidentiality at all times.
Assist and direct by phone and in-person by providing financial information to customers.
Document billing procedures and provide training to agency staff upon request.
Working knowledge and application of medical terminology, CPT-4 and ICD-10CM coding.
At least two years prior insurance billing experience in a hospital or medical office setting.
Comprehensive knowledge of Regional, State, Federal, CMS and departmental regulations, statutes, policies and procedures.
Demonstrated working knowledge of accounting principles, basic match skills, accounts receivable& billing.
Associates degree with a focus in accounting, business, or medical billing strongly preferred, or equivalent work experience to be proficient in job responsibilities.
Typing speed of at least 40 WPM and competency in 10 key calculator.
Must be computer literate including proficiency in such areas as the use of Microsoft-OfficeSuite (Excel, Word, &Outlook Email), Medical Billing software and systems, and navigating the Internet to find information.
Strong interpersonal and communication skills, including ability to maintain composure under pressure, interact routinely with others face-to-face, by telephone, by email messaging, and through other communication methods using active listening skills and excellent customer service skills.
Must be reliable in meeting exacting or highly accurate work results, strict deadlines, and prompt and friendly service delivery.
Excellence in dependability, flexibility despite interruptions and/or routine changes, organization and in using logic and reasoning to resolve problems.
Ability to effectively exercise professional credit collection techniques that persuade customers to pay amounts due on accounts or non-payable checks.
Must pass a pre-employment background check and drug screen following job offer.
Trupp HR - 2 years ago