Specialist Billing

Job description

Responsible for the complete and accurate billing and collections of all hospice claims submitted for payment to third party payers including, but not limited to, Medicare, Medicaid, Managed Care, commercial carriers, and any other state and federal health care programs. Performs all follow up duties associated with rebilling, adjustments, corrected claim submissions and collections of all overdue accounts/claims in accordance with best business practices. - Meets established daily productivity standards. - Schedule and download the daily bill job files and processes for transmittal. - Research, correct, and re-submit rejected and denied claims. - Responsible for timely billing whether by paper or electronic claim in the appropriate claim format. - Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner- knowledge of questions to ask for proper processing. - Responsible for identifying problems and solutions or enhancements to resolve billing issues including, but not limited to, billing frequency, required forms, and general billing requirements. - Identify problem accounts and escalate as ap...