JOB SUMMARY

Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.
Oversees daily billing/finance operations of the program including: administrative, financial, clerical, and customer service functions. Monitors activities and operations to ensure that the practice successfully meets its objectives.

REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:

• Must be proficient in basic office suite type computer programs.
• Demonstrate effective communication and interpersonal skills.

Possess excellent customer relation skills avoiding antagonism, conflicts, and undue anxiety.

• Demonstrated knowledge of medical terminology required for interpretation of medical claims
• Demonstrate effective writing skills.
• Demonstrate ability to stay organized with multiple tasks.
• Demonstrate time management, conflict resolution, and trouble shooting skills.

MINIMUM EDUCATION, TRAINING, AND EXPERIENCE REQUIRED:

• Two years’ previous medical billing experience and Certified Professional Biller (CPB) certification.

• Works with the Executive Director and Clinical Manager to establish, revise, and implement practice policies and procedures. Standardize procedures and initiate changes when necessary.
• Competently reviews processes within the office to strive for more efficient ways to conduct business, improve patient relations, and maintain efficient workflow.
• Direct operations to prepare and retain records, files, reports and correspondence according to practice standards.
• Oversees billing function and supports billing support staff in the submissions of claims, monitoring receipt of claims, and correction of rejected claims.
• Participate and initiate communication with the EMR analysts to enhance and Improve the effectiveness of the billing process.
• Represent hospice at monthly billing/Accounts Receivable meetings with health system finance leadership and report appropriate information to Executive Director
• Attend monthly one-on-one meeting with Executive Director to update on issues concerning the program.
• Stay current on payer policies and changes and inform staff when necessary.
• Assist the Executive Director with preparation of yearly budget
• Verify eligibility, patient benefits and initiates prior authorizations when needed.
• Review invoices and statements from vendors. Approve and forward to Executive Director for final approval and forwards to finance for payment
• Monitor outstanding accounts receivables. Initiate steps to collect overdue balances.
• Coordinate and oversee Kline House admissions. Involves collecting financial documentation for sliding scale appropriateness, collect payments, adjudicate adjustments, write-offs and refunds.
• Other duties as assigned or needed to complete day to day operations