POSITION QUALIFICATIONS:

• High School Diploma required; College Degree preferred.
• Proficient in Microsoft based programs preferred – i.e. Outlook, Excel, Word.
• Experience in health care, preferably in home care operations.
• Demonstrated ability to coordinate and direct professional and administrative personnel.
• Ability to work well if a fast paced environment.
• Knowledge of corporate business management, governmental regulations, CHAP standards, and private payor practices.

• Accurately enters patient billing data, including visit chargers and supply charges, into the information system.
• Accurately processes and bills Medicare, Medicaid, private payer, other insurance providers and patient claims in accordance with payer requirement and organization policy.
• Assists in the preparation of monthly billing analysis reports.
• Maintains accurate Medicare and Medicaid billing analysis reports.
• Maintains complete and accurate billing and accounts receivable records
• Prepares Medicare, Medicaid, private payer and patient remittances for data entry.
• Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the billing manager of seriously overdue accounts.
• Establishes and maintains positive working relationships with patients, payers, and other customers.
• Maintains the confidentiality of patient and organization information at all times.
• Performs other specific projects relating to billing, data entry, and computer operations as required.
• Previous hospice billing is required.
• Previous experience with authorizations