ACG Hospice · 18 hours ago
Billing Specialist
Spartanburg, SC
Full-time
Onsite
Senior Level
5+ years expACG Hospice is a regional leader in hospice and palliative care, dedicated to providing compassionate care and support for patients facing life-limiting illnesses. The Medical Billing Specialist will be responsible for processing eligibility workflows, submitting claims, monitoring claim rejections, and ensuring timely billing practices in accordance with agency policies and payer requirements.
Health CareHospitalMedical
Responsibilities
Facilitates invoice processing and submittal of bills either electronic or via paper
Prepares accurate claims for submittal to payer source
Submits claims either manually or electronically per payer source protocol, according to agency claim submittal calendar
Responds to payer inquiries regarding invoices
Completes required duties in a timely manner
Prepares correspondence to staff or payer sources accurately as directed in a timely manner
Works claim until payment or write-off occurs
Responsible for weekly reports on claim status
Gatekeeper for FSS or other types of inquiring information systems responses and information as applicable to area of responsibility
Assists supervisor with accounts review after claim submittal
Performs special projects as directed by the Director of Finance
Generates electronic payer reports as needed for assigned payers
Maintains financial and billing reports
Maintains confidentiality in all aspects of related responsibilities
Systematically reports to Supervisor EDI or invoice receipts
Serves as a member of the finance team dedicated to success of departmental responsibilities
Verifies client data into software system for billing purposes
Verifies that there are no outstanding errors per software requirement
Responds to client inquiries regarding invoices
Rebills and monitors rejections
Reviews and rebills past due accounts
Analyzes and recommends actions for delinquent accounts
Performs collection activities as directed and according to policy
Maintains organized, effective and efficient systems and communication to ensure correct billing and collection occur
Works with other personnel to assure problem solving with billing issues occur
Acts as liaison between company and payer sources for collection
Employs accuracy of data to ensure correct billing occurs
Maintains tracking on RTP, FSS, denial from private insurance and other claims queries or Medicare correspondence as required if applicable
Responsible for correspondence to fiscal intermediary as requested
Performs job in compliance with agency policies and procedures as well as professional standards
Provides an environment which promotes respect for patient, privacy, and property
Demonstrates knowledge of the patient’s Bill of Rights and upholds patient’s rights
Follows all infection control guidelines and standards per Agency policy
Demonstrates commitment, professional growth and competency
Attends meetings and assigned in-service programs
Attends training, education, seminars, or other means of learning as permitted by supervisor
Written and verbal communication is expressed clearly and in a cooperative manner
Participates on committees and task forces as requested
Promotes the Agency philosophy, mission statement and administrative policies to ensure quality of care
Maintains patient & staff privacy and confidentiality at all times pursuant to the HIPAA Privacy Final Rule
Provides positive, supportive communication to visitors, and other agency personnel
Promotes Agency image by adhering to the dress code
Reports to work as scheduled
Meets minimum productivity requirements based on agency standard
Abides by company policy and procedures as outlined by company policy manual
Performs other duties as assigned by the Supervisor
Qualification
Required
5 year's billing experience in an appropriate clinical care setting or home health environment required
Previous billing experience using both UB04 and 1500 forms along with previous insurance verification experience required
Strong work ethic
Detail oriented
Able to multi-task
Dependable
Team player
Able to communicate effectively with others
Knowledge of medical terminology
Must be able to speak, read and write English
Good communication, interpersonal, telephone and documentation skills
Excellent word processing skills
Must be discreet and maintain HIPAA and confidentiality in the workplace
Reliable Transportation - IN OFFICE ROLE - 187 North Church St. Suite 201 Spartanburg, SC 29306
Meets all applicable agency policies and procedures related to health screening and required testing
Preferred
Associate Degree preferred
5 year's billing experience in an appropriate clinical care setting or home health environment preferred
Accounting practices or experience preferred
Benefits
Tuition Reimbursement
Immediate Access to Paid Time Off
Employee Referral Program Bonus Eligibility
Matching 401K
Annual Merit Increases
Years of Service Award Bonuses
Pet Insurance
Financial and Legal Assistance Program
Mental Health and Counseling Programs
Dental and Orthodontic Coverage
Vision Insurance
Health Care with Low Premiums
$500 Matching Health Savings Account
Short-term and Long-term Disability
Access to Virtual Health & Wellness
Fertility Assistance Program
Company
ACG Hospice
ACG Hospice is a provider of adult hospice care and grief support services.
1001-5000 employees
Funding
Current Stage
Late StageRecent News
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