Billing Administrator
HopeHealth - Hyannis, MA

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Under the supervision of the Revenue Cycle Manager and within the departmental and the Organization's policies and procedures, manages work flow for all revenue related tasks and data entry functions related to the patient billing process on a timely basis, as well as providing support for various accounting tasks; adheres to the Organization's confidentiality policy regarding patient and personnel information.

Primary contact and biller for Medicare and Private Insurances including all pre-billing verification, remittance processing, collections, adjustments, denials and/or specific insurance policy changes affecting Hospice Association's monthly revenue cycle. Ensures Senior Billing Accountant is cross-trained on Medicare and Private Insurance billing processes.

DUTIES

Accepts overall responsibility for review and verification of the accuracy of all billing information related to Medicare and Private Insurances during each month. Reports all inaccuracies to appropriate party and works with each Department on corrections before billing deadline. Coordinates all unresolved issues with Senior Billing Accountant prior to billing drop date each month.

Accepts backup responsibility for daily check of Billing Line, including follow-up on key billing data. Communicates all Medicaid and Medicaid R&B billing line data to Senior Billing Accountant for timely follow-up and verification.

Primary responsibility to ensure all Physician Visit are entered into billing software and are billed correctly as allowed by Medicare and/or other insurers. Provides Senior Billing Accountant with Physician Billing reconciliation timely each month.
Coordinates with Senior Billing Accountant on all patient billing software issues, ensuring Senior Billing Accountant is aware of all facts related to such issues so that proper coordination of Open Tickets can be assured.

Accepts Primary responsibility for monitoring Medicare's "FISS" system, Common Working File, to determine new Pre Edit's or ADRS, informing Compliance and Medical Records to ensure all records are sent in a timely fashion.

Performs all A/R collections processes for Medicare and Private Insurances, including follow-up on all denials on a timely basis. Keeps Senior Billing Accountant aware of all potential collection issues in a timely manner.

Takes appropriate and timely action on all Customer Service issues relating to Medicare and Private Insurance billing, thus ensuring appropriate customer satisfaction. Escalates unresolved issues in a timely manner.

Performs the duties and functions of the position in a manner, which safeguards the confidentiality of patient and employee information.

Prepares all patient revenue reports required for the Annual Audit as well as any special revenue and patient related expense studies as required by the Controller.

Assists the Controller in the preparation of the annual Medicare Cost Report, annual Medicare Cap report and quarterly Medicare Credit Balance report.

Communicates effectively, both written and verbally, with all staff, vendors and patients.

Performs other duties and special projects as assigned.

QUALIFICATIONS

Third party billing experience in a health care environment and mathematical aptitude required
Medical terminology preferred
Computer literate in Windows environment required; keyboarding ability essential; working knowledge of office equipment essential
Detail Oriented
Experience in managing revenue cycle work flow of fast paced business office.

Accepts overall responsibility for review and verification of the accuracy of all billing information related to Medicare and Private Insurances during each month. Reports all inaccuracies to appropriate party and works with each Department on corrections before billing deadline. Coordinates all unresolved issues with Senior Billing Accountant prior to billing drop date each month.

Accepts backup responsibility for daily check of Billing Line, including follow-up on key billing data. Communicates all Medicaid and Medicaid R&B billing line data to Senior Billing Accountant for timely follow-up and verification.

Primary responsibility to ensure all Physician Visit are entered into billing software and are billed correctly as allowed by Medicare and/or other insurers. Provides Senior Billing Accountant with Physician Billing reconciliation timely each month.
Coordinates with Senior Billing Accountant on all patient billing software issues, ensuring Senior Billing Accountant is aware of all facts related to such issues so that proper coordination of Open Tickets can be assured.

Accepts Primary responsibility for monitoring Medicare's "FISS" system, Common Working File, to determine new Pre Edit's or ADRS, informing Compliance and Medical Records to ensure all records are sent in a timely fashion.

Performs all A/R collections processes for Medicare and Private Insurances, including follow-up on all denials on a timely basis. Keeps Senior Billing Accountant aware of all potential collection issues in a timely manner.

Takes appropriate and timely action on all Customer Service issues relating to Medicare and Private Insurance billing, thus ensuring appropriate customer satisfaction. Escalates unresolved issues in a timely manner.

Performs the duties and functions of the position in a manner, which safeguards the confidentiality of patient and employee information.

Prepares all patient revenue reports required for the Annual Audit as well as any special revenue and patient related expense studies as required by the Controller.

Assists the Controller in the preparation of the annual Medicare Cost Report, annual Medicare Cap report and quarterly Medicare Credit Balance report.

Communicates effectively, both written and verbally, with all staff, vendors and patients.

Performs other duties and special projects as assigned.

HopeHealth - 18 months ago - save job - block
About this company
HopeHealth is a federally-funded community health center providing comprehensive primary health care services to ANY person in need residing...