Patient Accounts Payable Spec

Description

Agrace is a nonprofit, community health care organization that is nationally recognized as a leader in the hospice industry. Well known for end-of-life care, Agrace also serves people across southern Wisconsin who are aging, seriously ill or grieving. 

Agrace has a strong culture of employee engagement. In 2023, Agrace was named the #1 Top Workplace by the Wisconsin State Journal and Energage, and #79 of the top 100 companies in the country among those with an employee base of 500 to 999 workers!

HOW YOU’LL MAKE A DIFFERENCE IN THIS ROLE (ESSENTIAL FUNCTIONS)

• Process Patient Related Accounts Payable 
  • Determine Agrace payment responsibility for claims received from external providers and obtain appropriate authorization, route claims, and follow-up on outstanding balances.
  • Prepare and verify vouchers for payment for contracted services.
  • Work with clinical leaders to determine hospice-related expenses and provide guidance on insurance coverage.
  • Prepare, code, and enter claims into AP system.
  • Prepare remittance for AP payments.
  • Reprice claims according to contracted rates.
  • Process denials for charges not covered by Agrace.
• Provider, Patient and Family Relations 
  • Answer questions from providers, patients, and families related to patient benefits and eligibility, provide direction regarding submission of claims to Agrace or insurance carriers.
  • Follow-up with providers regarding known services provided that remain unbilled.
• Other Duties 
  • Participate in internal work groups, meetings and committees relative to position responsibilities.
  • Serve as back-up and support other department staff as needed.

YOU BRING (EXPERIENCE & QUALIFICATIONS)

• Medical billing/medical claims processing experience highly preferred
• Associate degree in Accounting or equivalent combination of education and experience
• EPIC experience preferred

• Intermediate Microsoft Office Suite skills
• Ability to work effectively and cooperatively with others
• Experience using industry specific software
• Ability to communicate effectively verbally and in writing
• Ability to be flexible in time and task to meet organizational needs
• Ability to maintain confidentiality about patients, families, caregivers, staff, donors, and organizational intellectual property
• Ability to use proper body mechanics and standard precautions

Don’t meet these qualifications as written? We would still love to talk about roles at Agrace: Join Here

At Agrace we are strengthened by the diverse experiences, cultures and traditions of our staff, patients, and clients.

Together, we pursue a vision of equity—in which every Agrace staff member is treated fairly, and every patient and client experiences the respectful, individualized care they need and deserve.

We foster a culture of belonging and inclusion that celebrates people’s uniqueness and leads to meaningful, empathetic connections.

Agrace HospiceCare is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Qualifications