Accounts Receivable Clerk - Home Health & Hospice

The Accounts Receivable Coordinator for Home Health and Hospice is responsible for billing and collecting funds for services provided to home health and hospice patients covered by Medicare, Medicaid, managed care plans, commercial insurance, other government programs, and direct patient collections.

Key Responsibilities

• Prepare and transmit claims electronically using billing software and payer portals.
• Review, balance, and close ancillary service files to ensure accurate claims submission.
• Validate payer data and correct insurance information as needed.
• Confirm required precertifications, preauthorizations, authorizations, and re-authorizations.
• Monitor collections and apply cash receipts to patient account balances.
• Identify denied claims, research issues, correct errors, and resubmit claims.
• Communicate with payers, government agencies, site staff, patients, and family members to resolve billing issues.
• Prepare responses to additional development requests, grievances, and appeals as appropriate.
• Generate and release private pay invoice statements and include required supporting documents.
• Make collection calls, send collection letters, and establish payment plans when appropriate.
• Review accounts receivable aging reports and work outstanding balances.
• Prepare write-offs, adjustment requests, and other financial review items.
• Identify process improvement opportunities and collaborate with team members.
• Participate in training, meetings, and special projects as assigned.