What are the responsibilities and job description for the Billing Specialist - Palliative position at Hospice of Hilo dba Hawaii Care Choices?
Position Summary :
Primary responsibilities include patient care billing, accounts receivable posting and collections and follow up on claim denials. Works closely with the Intake team from point of admission to billing in capturing all pre-billing information to ensure billing success. Other duties include monthly accounts receivable reconciliation and reporting. This position also works closely and cooperatively with the accounting department to ensure complete and systematic set of records and related transactions are kept.
Essential Duties / Functions :
- Billing and Coding : Accurately process and submit palliative care claims to insurance companies, ensuring correct coding (ICD-10, CPT, HCPCS) and billing practices.
- Insurance Verification : Verify patient insurance coverage and benefits prior to services, ensuring eligibility for palliative care services.
- Claims Follow-Up : Monitor and follow up on denied or rejected claims, working to resolve issues and resubmit claims promptly.
- Patient Account Management : Manage patient accounts, including billing inquiries, payment processing, and addressing any discrepancies.
- Documentation Review : Ensure accurate and complete documentation for palliative care services, aligning with billing codes and regulations.
- Compliance : Maintain compliance with federal, state, and payer-specific regulations, including HIPAA, billing policies, and audit requirements.
- Financial Reporting : Prepare and submit regular financial reports detailing billing status, aging reports, and revenue cycle performance.
- Collaboration with Care Team : Communicate with healthcare providers and the care team to ensure proper documentation of palliative care services provided.
- Patient Advocacy : Assist patients and their families with understanding financial aspects of care, including payment options and insurance benefits.
- Training & Education : Stay up to date on billing codes, regulations, and industry trends, and provide guidance to staff on billing practices.
- Dispute Resolution : Resolve payment issues by negotiating with insurance companies, addressing underpayments, and identifying billing errors.
Skills / Knowledge :
Experience :
Work Hours :
Pay :
20.00 - $25.00 / per hour
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
About Hospice of Hilo dba Hawaii Care Choices :
We are a growing hospice provider that provides palliative, hospice and bereavement services. We support to those facing a life-limiting illness, while enabling them to live with dignity, choice and comfort.We provide exceptional care and solution-based choices that align with patient values.We give support with a patient and family focus and are dedicated to the belief that quality of life matters.
Salary : $20 - $25
