Job title: Hospice Room and Board Biller
Company: GBMC HealthCare
Job description: JOB DESCRIPTION SUMMARY:
Under direct supervision, performs all billing and collection functions for nursing home pass through room and board billing. Performs Medicaid eligibility, comprehensive review of patients residing in nursing facilities related to room and board billing. Provides excellent customer service and collaboration with our nursing home partners. Performs all inpatient unit room and board billing. Performs eligibility of all payers as coverage in the department as necessary.
Education
High School or GED equivalent.
Experience
Three years’ medical billing, collection and account resolution experience. Previous nursing home room and board billing desired
Knowledge, Skills and Abilities
- Thorough knowledge and understanding of medical billing, insurance and private pay.
- Strong knowledge of all medical billing requirements for Medicare, CareFirst, Medical Assistance, Commercial insurance, and HMO carriers
- Strong collection skills, including claims follow-up and revenue cycle practices.
- Builds a good rapport with nursing facilities.
- Ability to multi-task, set priorities, and manage time effectively.
- Exemplary computer skills, including EMR knowledge and Microsoft Office including excel.
- Attention to detail and strong math skills.
- Skill in data analysis and interpretation Strong interpersonal skills
Licensures, Certifications
Physical Requirements
- Ability to sit, concentrate and pay close attention to detail
Working Conditions
- Normal office environment with little exposure to excessive noise, dust, temperatures and the like
Conditions of Employment
Principal Duties and Responsibilities
- Manages assigned nursing home’s claims processing functions,from eligibility through claim resolution, including adjusting claims.
- Manages large account spreadsheets, communicates with nursing home partners.
- Performs all inpatient room and board billing.
- Collaborate with business development managers ongoing.
- Balancing claims to ensure payments from Medicaid are
.
- Ensuris all payments to nursing facilities are valid.
- Manages assigned Epic work queues daily to ensure accurate billing and expedient claims follow-up.
- Process any late charge claims, claims resubmission and/or claim corrections to payors.
- Submit all claim files to Medicaid and other payers. Including but not limited to file transfer of payment files.
- Responds to patient and third party payor inquiries regarding patient accounts via e-mail, telephone, mail, and in person.
- Troubleshoot any claim discrepancies to resolution.
Expected salary:
Location: Hunt Valley, MD
Job date: Thu, 04 Jan 2024 02:52:00 GMT
