The Hospice Billing Supervisor is responsible for managing, coordinating and processing all Hospice and Physician billing. Responsible for generating accounts receivable revenue, processing claims, following up on claims, maintaining collection notes, posting deposits, submitting provider notifications, and balancing all aspects of accounts receivable. S/he also provides backup for accounts payable when accounts receivable revenue is involved, which includes working with hospitals and facilities to ensure accurate patient information. S/he is responsible for knowing and applying the rules and regulations of state and federal regulatory agencies and other certified agencies.
PRIMARY FUNCTIONS
To perform this job successfully, an individual must be able to perform each primary function satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the following functions:
- Timely- filed hospice (NOE) Notice of election - shall be filed within 3-4 calendar days after the Hospice admission date.
- Enters all charges accurately and expeditiously to ensure proper records handling and fast payment responses.
- Processes and follows up on payer denials, researches all client billing issues, consults with patient and his or her family as needed.
- Posts all payments in a timely manner.
- Prepares, compiles, and mails bills for bills for products paid for by products paid for by clients.
- Responds to billing questions from patients.
- Process and keep track of incoming payments and accounts in compliance with MorseLife financial policies and procedures.
- Initiates and submits bills to clients and generates financial statements for clients.
- Prepares and sends out invoices, bills and bank deposits.
- Compares billing accounts with accounts receivable ledger to ensure all payments are properly posted and accounted for.
- Verify discrepancies by clients, and resolve their billing issues.
- Send all billing reminders to clients regarding outstanding accounts.
- Prepares monthly reports detailing Accounts Receivable Status.
- Manages all private pay collections after insurance cancellation, denial or other issue.
- Collects outstanding claims.
- Provides support and consultation to both corporate and branch personnel.
- Attends and participates in staff meetings.
- Communicates identified needs and potential solutions to Senior Specialist/Supervisor.
- Reviews and submits Notice of Elections and Notice of Revocation/Terminations as required for payors.
- When applicable review new admissions to verify payors and benefit periods.
- Runs pre-billing reports on assigned branches and pre-billing claims for review.
- Monitors and assists program branches as needed with financial classes and recertification dates.
- Generates Patient Revenue.
- Reviews and transmits/mails claims.
- Maintains knowledge of appropriate data required on claims.
- Assures filing of accurate claims according to payer specifications.
- Submits appropriate claims corrections or adjustments as needed.
- Documents required back up/approvals as required on revenue adjustments/changes and submits it to their Supervisor/Manager.
- Assembles required back up/approvals as required on revenue that will result in bad debt and submits it to their Supervisor/Manager.
- Works with branches, hospitals, and long-term care facilities as needed to ensure accurate billing and accounts payable information as needed.
- Able to self-organize work assignments to assure efficiency and effectiveness.
- Generates unbilled revenue reports at end of month and confirms all patients that were not generated are accounted for.
- Works the unbilled revenue report weekly by communicating missing information to the branches to ensure generation of all revenue.
- Maintains up-to-date knowledge of Insurance Contracts and notifies Senior Specialist/Supervisor/Manager in writing of any problems or deviation from
- Maintains up-to-date knowledge of Medicare, Medicaid, and Private Insurance rules/procedures/and rates for billing.
- Monitors every outstanding claim on the aging report at least once every two
- Ensures that any account over 60 days old is being investigated on a consistent basis and documents every follow up attempt.
- Monitors for ADR’s, or other payor request, needed to complete billing/collection process, on a weekly basis and notifies appropriate personnel.
- Performs quarterly status checks on all current ADR patients.
- Works Returned to Provider (RTP) claims in Medicare.
- Monitors Medicaid and Private Insurances websites, clearinghouses, and RA/EOB’s on a daily basis to ensure that all claims are processing for payment.
- Performs monthly AR reviews and works with Senior Specialist/Supervisor/Manager to resolve problem accounts.
- Post Deposits daily or weekly as needed.
- Balances EOB/RA’s to deposit entry and bank printouts.
- Assist with preparation and delivery of items required for branch or yearly audits as needed.
- Follows timekeeping and attendance policy daily.
- Performs other duties as assigned.
SUPERVISORY RESPONSIBILITIES
This job supervises others.
QUALIFICATIONS EDUCATION and/or EXPERIENCE
ICD-10 Coding experience required. Minimum 2-5 years of experience.
One year certificate from college or technical school; or three to six months related experience and/or training; or equivalent combination of education and experience.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages. Proficiency in the use of a 10-key.
LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several variables in standardized situations.
CERTIFICATES, LICENSES, REGISTRATIONS
Medical Billing and Coding Certificate preferred.
Location: 4847 David Mack Dr
USA
West Palm Beach
FL
33417, West Palm Beach, FL 33417
Location: 4847 David Mack Dr
USA
West Palm Beach
FL
33417, West Palm Beach, FL 33417
Job Type: Full-time
Ability to Relocate:
- West Palm Beach, FL 33417: Relocate before starting work (Required)
Work Location: In person