Hospice Billing Analyst
Graham Healthcare Group
full-time
Posted on:
Location Type: Remote
Location: United States
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Job Level
About the role
- Support the Team Lead and Billing Supervisor to ensure timely and correct claims are filed with all respective payers and intermediaries for Hospice patients.
- Monitor claims for timely processing of payments and rejections and work on Accounts Receivable (A/R) weekly.
- Bill for Medicare/Medicaid/Blue Cross and other commercial payors under Hospice guidelines
- Complete/update room & board admissions/discharges in CHAMPS, Medi System
- Complete Illinois Medicaid & Managed Medicaid Enrollments/Discharges and submit to the State of Illinois
- Obtain Medicaid rate letters from facilities when rates are updated
- Update room and board rates in HCHB as required
- Process workflow in HCHB to set up room and board
- Develop and maintain relationships with skilled nursing facilities (SNF)
- Complete and submit HPF form to SNF within 24 hours of admission
- Manage monthly Medicaid billing for SNFs
- Communicate directly with Sales Team when SNF invoice payments are being held
- Monitor monthly Medicaid eligibility and maintain PPA updates
- Review unbilled reports for Medicaid and commercial room and board claims weekly
- Review Blue Cross 5th Level Claims in web-DENIS for payment dates
- Create and review room and board/respite invoices for accuracy
- Submit reviewed room and board/respite invoices to SNF for their review, obtain signatures, and correct any discrepancies
- Submit room and board invoices to AP, adhering to deadline date
- Review revenue and expenses related to room and board to ensure that payments sent to facilities tie to the payments received by the insurance carrier and the accounting system
- Update billing notes and follow up as required
- Review all payor remits filed in OneDrive by Accounts Payable
- Prepare and submit write-off/bad debt documentation to Hospice Billing Manager by monthly deadline for Revenue Cycle
- Work closely with AP department to resolve payment issues
- Perform claims adjustment/correction in CHAMPS, Medi, Waystar, web-DENSI, and commercial payor web portals.
Requirements
- High School education or equivalent
- Minimum of one (1) year billing experience in the Hospice or Home Health industry
- Medicare FISS (Fiscal Intermediary Standard System)/DDE (Direct Data Entry) and CHAMPS experience preferred
- Experience using clinical billing software and electronic claims submission
- Knowledge of Hospice Medicare/Medicaid compliance
- Strong computer knowledge
- Experience navigating a computer network
- Proficient in Microsoft Office
- Experience using web-DENIS
- Experience using Commercial billing software/websites
- Demonstrate patience, flexibility, and cooperative attitude
- Conscientious with attention to detail
- Ability to multitask and work independently
- Excellent communication and organizational skills, verbal and written.
Benefits
- Competitive Pay: With opportunity for advancement
- Health and Welfare Benefits: Various medical, dental, and vision insurance options for you and your family to choose from.
- Supplemental Benefits: Company paid life insurance and disability benefits. Also, pre-tax FSA and HSA plans are offered.
- Generous PTO Packages.
- Retirement: Save for your future with our company offered 401k plan and pension.
- Company-Paid Education Programs: Grow your career by taking advantage of 50% discounts on tuition for selected courses offered by Purdue and Kaplan.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billing experienceclaims adjustmentelectronic claims submissionMedicare billingMedicaid billingroom and board invoicingrevenue cycle managementattention to detailmultitaskingcompliance knowledge
Soft Skills
patienceflexibilitycooperative attitudecommunication skillsorganizational skillsindependenceconscientiousness