The Biller is responsible for all aspects of hospice and palliative account activities, including billing, collections, claims, payment posting, and appeals. This role communicates with patients, caregivers, insurance providers, physician practices, administrative staff, and clinical staff to determine eligibility, generate invoices, and collect payment for hospice services.
Key Responsibilities
- Maintain effective communication with patients, caregivers, insurance providers, and staff regarding billing procedures and eligibility.
- Perform pre-billing functions to ensure claims are ready for submission.
- Submit claims in a timely manner to payers.
- Review rejection notices and resubmit corrected claims.
- Monitor billing cycles to ensure proper rates are in effect.
- Update patient data in the EMR system to maintain accurate billing records.
- Stay informed on Medicare, Medicaid, and commercial insurance regulations.
- Handle insurance inquiries and follow up on claim issues until resolution.
- Attend Finance Department and other required meetings.
- Review outstanding balances and follow up with payers for expected payment and release dates.
- Monitor the time between claim submission and payment receipt.
- Prepare monthly accounts receivable aging reports.
- Maintain scheduled billing cycles for patient accounts.
- Keep supporting documentation and detailed billing notes.
- Use computer systems and telecommunication platforms to support productivity.
- Pursue ongoing training and keep current with industry issues.
- Perform other duties as assigned.
Requirements & Qualifications
- High school diploma or equivalent required; associate degree or higher preferred.
- Minimum of 2 years of experience with Medicare, commercial billing, payment posting, and collections.
- Ability to understand and communicate payer contract language.
- Demonstrated understanding of Medicare, Medicaid, and commercial payer requirements.
- Knowledge of UB-04, CMS-1500, and clearinghouse billing systems.
- Hospice and Medicare experience preferred.
- Proficiency with Microsoft Word, Microsoft Excel, Microsoft Teams, and Zoom.
- Strong verbal and written communication skills.
- Ability to communicate effectively with internal and external stakeholders.
- Dependable and self-reliant.
Benefits & Perks
- Full-time, non-exempt position
- Benefits eligible
- Opportunity to work for a nonprofit, community-based hospice organization
Location
Maryland, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago
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