It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!
When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!
Responsible for all non-governmental and non-commercial insurance payer accounts. Coordinates the process for all non-insurance accounts including private pay and hospice house room and board. Coordinates and provides back-up support for all referral verifications and authorizations. Responsible for application of Electronic Remittance Advice payments into patient accounting system. Processes reports required for month end close and coordinates corrections with appropriate departments. Provides backup to Accounts Receivable Coordinator and Director of Revenue Management. Responsible for coordinating coding and billing and collections for other lines of business including, but not limited to, Palliative Care business unit.
JOB DUTIES/KNOWLEDGE (45%)
______ 1. Assists with monthly billing for all revenue sources within 10 working days of
previous month-end. Processes all non-insurance/governmental payer claims.
______ 2. Coordinates referral verification of benefits with Verification Specialist. Provides back-u support for verification of benefit during absence of Verification Specialist or times of increased volume.
______ 3. Coordinates monthly activity log data entry into the patient care software system.
Accurate data entry must be completed within 7 working days of the previous month-
end.
______ 4. Coordinates posting bills, cash received and adjustments related to designated
accounts to the patient care software system. All information is posted accurately and
in a timely manner.
______ 5. Prepares and reconciles Room & Board deposits for all Hospice Houses, including
generation of refunds.
______ 6. Patient Account Coordinator is the primary back-up for Accounts Receivable Coordinator responsible for making sure the department day to day questions are addressed in the absence of the Accounts Receivable Coordinator.
______ 7. Performs all other accounting/billing related duties accurately as assigned by the Director of Revenue Management or CFO accurately and within the established time-frame.
______ 8. Reviews patient care invoices for accuracy and validity against services provided or medical supplies received. Adjusts invoices for Medicare/Medicaid allowable (per contract stipulations) and codes for timely payment processing. Exercises good judgment in this review process.
______ 9. Coordinates coding of diagnosis and physician CPT coding with medical coders and
physicians for non-hospice services and claims.
______ 10. Coordinates completion of clinical staff requirements for month end close by monitoring required reports on a weekly basis and following up with clinical team manager for completion.
______ 11. Reviews and understands contracts that apply to the areas and entities in the billing
process. Coordinates and maintains billing and collections for vacation/travelling patient contracts
______ 12. Completes insurance verification, including coverage and benefits as required. Initiates Case Management process on patient’s requiring authorization codes.
______ 13. Monitors authorization periods to ensure continued authorization of Hospice care as required.
______ 14. Coordinates creation, maintenance and review of assigned payer billing files, documenting follow-up actions taken.
______ 15. Corresponds with providers as necessary to process payment or denial of charges.
______ 16. Ensures non-budgeted expenses (including overtime) are submitted to the
Director of Revenue Management for justification.
_____ 17. Maintains records within a confidential and organized filing system.
_____ 18. Assists with financial training for staff members. Keeps current with regulatory changes affecting areas of responsibility.
_____ 19. Develops and maintains a networking system with various providers to facilitate working relationships with business partners.
JOB PERFORMANCE (30%)
Demonstrates initiative and skills in planning and organizing work
_____ 1. Demonstrates a desire to set and meet objectives and to find increasingly efficient
ways to perform tasks.
______ 2. Completes work and documentation with accuracy within agency timeframes.
______ 3. Requires minimal supervision and is self-directed.
______ 4. Maintains adequate knowledge of accounting and government guidelines to perform
duties efficiently and correctly.
Qualifications
1. High school diploma required; two years’ college preferred.
2. Minimum five years’ applied experience in healthcare billing care required; supervisory
experience preferred.
3. Knowledge of Medicare, Medicaid and Private Insurance billing regulations required.
4. Strong computer experience required.
5. Demonstrated accurate use of a 10-key calculator required.
6. Must possess communication skills and interpersonal skills.
7. Valid Florida drivers license and required liability insurance.
This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
