Billing & Collections Specialist - Medical (Hybrid
Location
Vero Beach, FL | United States
Job description
The VNA provides compassionate, innovative care of the highest quality, setting the standard for patients and caregivers needing private care, home health, hospice, and community health services. Together, we provide the highest quality patient care.
Come Join our team of passionate and skilled professionals! By choosing to work for the VNA, you would be working with an agency that has been voted ‘Best Place to Work’ for 7 years in Indian River County because of the benefits we offer our associates, such as:
- Competitive pay
- Accrue up to 18 paid days off during first year, 6 observed holidays
- Up to 88% coverage of health insurance costs
- Complimentary access to VNA Mobile Health Clinic
- Tuition reimbursement after one year of service
- Several local and national discounts
The VNA is seeking a full time Billing & Collections Specialist to p erform billing function for all payors of services of the organization, including but limited to Hospice, Home Health, Private Care, Lifeline, and other community programs. Follow up on collection for all patient accounts. Generate statistical reports and file appropriate reports for billing and accounts receivable. Monitor aging of accounts receivable for assigned accounts working to ensure minimize time to collect while maximizing collections within regulatory/payor standards. Integrate and demonstrate Core Values in all aspects of duties and responsibilities. Incorporate and demonstrate the Core Values of the VNA – Integrity, Collaboration, Accountability, Respect, and Excellence, in all aspects of job responsibilities and when representing the VNA outside the work environment.
- Responsible for assigned branches and payors for assigned areas of responsibility which could include, but are not limited to, Hospice, Home Health, Private Care, Telehealth, Mobile Services, and Flu Shot services, from admission to claim processing to collection of amounts owed
- Perform monthly billing audits including aging analyses and assessments
- Monitor correctness of patient's payor status to ensure timely collection of accounts. Address issues in a timely manner including coordination of benefit issues, payor coverage status, and other outstanding requirements for billing and collections. Coordinate secondary billing as applicable
- Interact as needed with Patient Care Managers, Medical Records and Intake Departments regarding patient information
- Follow collection policy, preparing and issuing statements, forwarding to credit and collections, making write off recommendations
- For Hospice : file notice of election, verify Medicaid eligibility for nursing home room and board, and manually enter physician charges. Approve invoices for room and board from nursing facilities and invoices from hospitals for general inpatient days
- Post patient and third-party payments to accounts. Update cash sheet daily of patient postings. Answer daily inquiries from internal and external parties as appropriate
- Prepare monthly reports relating to Indian River Tax District for indigent funding and Foundation for charity care information for manager review
- Review Flu Shot paperwork for submission to third party data processing company. Transmit flu files from data company for Medicare Electronic billing. Send out paper claims for other payors as needed. Follow up on denials and either bills another payor or the patient. Track data for reconciliation with the accountant
- Provide monthly report on outstanding accounts to manager with aging information, follow-up notes, unresolved issues for collection, and write off recommendations
- Identify issues with billing/clinical system that may require a ticket to the Information Technology Department and/or system vendor, bringing forward to manager on a timely basis
- Assist in preparation of reports and analyses as requested
- Learn other areas of the billing and collection function to provide coverage for non-primary billing areas of responsibility during times of high workload, vacations, and vacancies
- Provide input into departmental procedure manual including documentation of workflow and recommended updates
- Participate on committees as needed; attend meetings as needed to ensure transparency of deliverables and services
Associate's degree or equivalent from two-year college or technical school; or two year’s related experience; or equivalent combination of education and experience. Knowledge of Medicare, Medicaid and Private Insurance a plus. Experience in complex healthcare setting such as large physician practice, hospice, home care, and/or hospital desirable.
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