Hospice Biller at NVNA and Hospice

Norwell, Massachusetts, United States -

Full Time

Start Date

Immediate

Expiry Date

10 Feb, 26

Salary

59000.0

Posted On

12 Nov, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Strong Communication Skills, Knowledge Of Automated Systems, Basic Knowledge Of Third-Party Billing Requirements, Pleasant Telephone Manner, Good Computer Skills, Keyboarding Skills, Spreadsheet Familiarity, Ability To Work Under Pressure, Strong Organizational Skills, Decision Making Skills, Problem Solving Skills, Flexible, Dependable, Detail-Oriented, Knowledge Of Medicare, Managed Care Experience

Industry

Hospitals and Health Care

Description

Why NVNA & Hospice? NVNA and Hospice is a mission-driven, non-profit organization providing home health, palliative, hospice, and wellness services across 27 communities, from Milton to Plymouth. Consistently earning five-star CMS ratings, we lead with innovation, quality, and heart. Join us and make a difference every day—because here, caring is more than what we do, it’s who we are. We are looking for an experienced, talented, and compassionate Hospice Biller for a full-time position in our Norwell Office. The Full-Time Hospice Biller performs and coordinates Hospice billing and collections functions for the agency including but not limited to processing, maintaining and producing related billings, and collections and electronic submissions of claims. Responsible for quality care to patients in the managed care environment. Serves as a liaison between payers and the agency providing consistent communication to clinical staff as well as advocating for patient/client needs. Salary: $56,000.00 - $59,000.00. commensurate with experience What will you do: Monitors and coordinates the work with the Hospice billing Team to meet agency goal. Maintain training and competence in standard Processes, procedures and workflows. Verify insurance eligibility of patients/clients when requests for service as requested, Set up patient database in the billing system. Process all requests for service for patient/client insured through a provider. Prepare and process billing for assigned payors. Communicates, as appropriate, with referral sources, physicians and clinical staff concerning patient/client’s needs. Process and maintain billing transactions by weekly review of accounts receivable. Maintain on-going collection process, submit required correspondence, and maintain records of collection stats and write-offs. Apply cash receipts to appropriate accounts. Ensures that the documentation required for reimbursement of care is completed on a timely basis and in compliance with state and federal regulations. Assures agency compliance with all federal and state laws as well as adhering to the Norwell Visiting Nurse Association, Inc. corporate compliance policy in the prevention of fraud and abuse on behalf of the agency. Compile statistical reports for internal and external requirements. Compile audit reports and distribute them to appropriate managers. Works with the education of staff in providing an understanding of managed care insurance. Works in a multidisciplinary team approach to patient/client care through team meetings and case conferencing What we’re looking for in you: Strong communication skills, both verbal and written Knowledge of automated systems Basic knowledge of third-party billing requirements Pleasant telephone manner Good computer, keyboarding skills and Spreadsheet familiarity (Excel) Ability to work under pressure; meet deadlines Strong organizational skills, decision making and problem solving skills Flexible, dependable, organized, detail-oriented Knowledge of Medicare and managed care preferred Able to effectively interact with management and staff Able to work with minimum supervision Education and Experience: High School or higher education 4 plus years working experience Knowledge of Medicare reimbursement preferred Community Health or health care experience preferred Two (2) years of clerical office experience in the medical field Previous managed care experience a plus. What's in it for you? Medical, Dental and Vison Benefits Company paid Life Insurance and Long-Term Disability Generous Paid Time Off Package 401 (k) match program Tuition Reimbursement and Scholarship Program Mileage Reimbursement (in field positions only) NVNA and Hospice complies with applicable federal and state civil rights laws and does not discriminate, exclude people or treat them less favorably because of race, color, creed, religion, national origin (including limited English proficiency and primary language), sex (including sex characteristics, including intersex traits, pregnancy, or related conditions, sexual orientation, gender identity and sex stereotypes), age, disability (including mental illness and substance abuse disorders), genetic material, veteran status, communicable disease, natural or protective hairstyles or any combination, thereof with regard to admission, access to treatment or employment. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Responsibilities

The Hospice Biller performs and coordinates billing and collections functions for the agency, including processing and maintaining related billings and collections. They serve as a liaison between payers and the agency, ensuring quality care to patients in the managed care environment.