Job Description

Job Description

Job Description

Responsible for patient billing pertinent to Medicare, Medicaid, Private Insurance and Self-Pay as well as any documents associated with month-end reporting. Responsible for any documentation or verification associated with such payer sources.

Qualifications

• High School diploma.
• At least three years of medical billing/Hospice experience preferred.
• Computer literacy required. Knowledge in NetSmart or FireNote EMRs preferred.
• Attendance is a condition of employment.

Expectations

• Work collaboratively with other staff members in the department as well as team members of all TCH departments. Demonstrate the ability to be self-motivated in performing their daily job functions for TCH. Ability to communicate effectively with payer sources as well as patients and family members regarding billing inquiries.

Key Result Areas

• Responsible for the timely and accurate electronic/paper submission of claims to the Medicare Intermediary, Medicaid Managed Care providers, private insurance companies as well as patients and family members regarding self-pay.

• Responsible for any verification of payer sources regarding patients as needed.

• Responsible for timely and accurate billing and receipt of accounts receivable. This includes reconciliation of any discrepancies with payer sources.

• Responsible for preparation of monthly closing reports regarding TCH closing process.

• Responsible for all other tasks assigned by Department Manager as needed.

• Participate as an active supporter of the Treasure Coast Hospice compliance program, including an emphasis to report, as well as complying with all Federal, State and Local laws as well as the organization’s compliance program.

OSHA Category

Position will be categorized as category III (involves no routine or potential exposure to blood, body fluids/tissues).

Working Conditions

• Typing or otherwise working primarily with fingers rather than with the whole hand as in handling.
• Sedentary – Exerting up to ten pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria met.
• The work is required to have close visual acuity such as/preparing and analyzing data and figures; transcribing, viewing a computer terminal; extensive reading.

Additional Information

• To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Incumbent may be required to perform emergency duty before, during and/or beyond normal work hours or days in the event of an emergency, crisis situation or disaster (man-made or natural) including evacuation sites. The person in the position will work in a smoke-free location, and is expected to adhere to all smoking restrictions

EEO/Drug Free Workplace

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