AdamsPlace is seeking a Billing Specialist to manage patient billing processes and ensure timely payments. The role involves generating clean claims, following up on payments, and maintaining accurate billing files.
Responsibilities
- Prepares and maintains patient billing files
- Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program
- Participates in the quality program (IOP)
- Reviews and edits claims prior to billing to ensure accurate and clean claim submission
- Meets all billing and accounts receivable deadlines
- Prepares and distributes unsubmitted billing list to appropriate personnel weekly
- Reviews all remittance advices for contractual adjustments, withholds and bad debt. Attaches documentation for justification, as needed
- Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary
- Documents all accounts receivable follow-up and maintains in patient billing file
- Prepares and bills Medicare Secondary Payer claims through the Fiscal Intermediaries direct data entry program
- Reviews and edits claims in claims correction section of on-line system to ensure on-going processing for payment via direct data entry, daily
- On a quarterly basis and upon signature by the Director of Operations/Reimbursement, prepares and sends to Fiscal Intermediary Medicare, credit balance reports for each Hospice office
- Responsible for taking and processing of referrals, when needed
- Responsible to supervise Billing, Referral Intake and Scheduling personnel in the absence of the Director of Operations/Reimbursement
- Maintains branch locations monthly unbilled if assigned
- Reports any ADR’s to Compliance Officer and Regional Director of Clinical Care
Skills
- High school graduate or the equivalent preferred
- Must be experienced with PC's and be familiar with common office software, such as Microsoft office and spreadsheets, etc
- Must be well organized and detail-oriented
- Must be able to communicate articulately and comprehend written and verbal communications
Benefits
- Competitive Pay
- Eligible for benefits within 60 days
- Health Benefits (Medical, Dental, Vision); health savings account
- Earned Time Off
- 401 (K) plan with company match
- Paid Training
- Mileage Reimbursement
- Tuition Reimbursement
- Flexible Scheduling
- Career Advancement Opportunities
Company Overview
AdamsPlace is affiliated with National Healthcare Corporation and founded by Dr. It was founded in 1997, and is headquartered in Murfreesboro, Tennessee, US, with a workforce of 201-500 employees. Its website is http://www.adamsplace.org/.
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