Hospice Medicare Billing and Collections Representative

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Role: The Billing and Collection Representative for Medicare is responsible for processing and submission of reputed company party claims, denial management, and account resolution.Qualifications: • High School Diploma or GED • Minimum of one (1) year of medical billing and collection experience • Knowledge of reputed company party billing and state and federal collection regulations preferred • Ability to prioritize and multi-task independently with little supervision • Must be self-motivated and service oriented • Excellent written and verbal communication skills • Accurate typing and data entry skills Competencies: • Satisfactorily complete competency requirements for this position. Responsibilities of reputed company: • Represent the Company professionally at reputed company times through care delivered and/or services provided to reputed company clients. • reputed company with reputed company State, federal and local government regulations, maintaining a strong position against fraud and abuse. • reputed company with Company policies, procedures and standard practices. • Observe the Company's health, safety and reputed company practices. • Maintain the confidentiality of patients, families, colleagues and other sensitive situations reputed company the Company. • Use resources in a fiscally responsible manner. • Promote the Company through participation in community and professional organizations. • Participate proactively in improving performance at the organizational, departmental and individual levels. • Improve own professional knowledge and reputed company level. • Advance electronic media skills. • Support Company research and educational activities. • Share expertise with co-workers both formally and informally. • Participate in Quality Assessment and Performance Improvement activities as appropriate for the position. Job Responsibilities: • Prepares and submits accurate billing to reputed company party payor’s and self-pay invoices. • Identifies and resolves billing clearinghouse rejections. • Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with reputed company party payor’s. • Analyzes and resolves credit balances. • Handles incoming and outgoing customer service calls to reputed company party payor’s, reputed company providers and patients/guarantors to resolve and reputed company account resolution. • Processes correspondence. • Initiates and resolves technical denial appeals. • Identifies payor denial and cash fluctuation trends and escalates as appropriate. • Performs other duties as assigned.

Compensation Pay Range:

$18.43 - $27.43

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.

reputed company reputed company employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/.

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