What are the responsibilities and job description for the Medical Accounts Receivable Specialist position at Hospice of the Western Reserve?
JOIN US IN MAKING THE MOST OF EVERY DAY!
Hospice of The Western Reserve operates in celebration of the individual worth of each life, we strive to relieve suffering, enhance comfort, promote quality of life, foster choice in end-of-life care and support effective grieving.
WHY US?
We believe that our success starts with our greatest asset: OUR EMPLOYEES!
We live our shared core values in everything we do:
COMPASSION. EXCELLENCE. EQUALITY. INTEGRITY. SERVICE. STEWARDSHIP.
We have a passion for purpose driven work! Do you?
JOIN OUR FAMILY!
Performs account receivable processes including verifying medical insurance coverage, auditing data elements related to reimbursement of services, and collection of revenue from all payors, in compliance with Hospice of the Western Reserves’ procedures and regulatory standards.
WHAT YOU WILL DO:
- Identifies new hospice care admissions for assigned teams.
- Ensures patients’ primary and all other medical insurances have been verified and documented in the electronic medical record.
- Set-up and maintains patients’ primary, secondary and other identified coverage in the Payor Source screen of the electronic medical record according to the requirements of the payors.
- Investigates and verifies patients’ medical insurance benefits when benefits change.
- Coordinates the Financial Assessment and Payment Agreement process for patients that are uninsured.
- Processes Medicare Notice of Elections according to established procedures.
- Analyzes and audits Level of Care against patient service location.
- Performs pre-billing functions according to established procedures.
- Coordinates the Residential Room and Board process with the Social Workers at the Inpatient Units and processes room and board Payment Agreements, charges, payments, and refunds as assigned.
- Follow-up on patient accounts per established procedures.
- Documents all follow-up on patient accounts in billing comments section in the electronic medical record.
- Prepares Billing Adjustments and Payment Adjustments according to established procedures.
- Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer.
- Interacts with patients/families regarding medical insurance benefits and reimbursement of services.
- Demonstrates effective Service Excellence skills according to agency standards.
- Works collaboratively with Revenue Cycle team members and other appropriate Hospice of the Western Reserve staff to ensure reimbursement of all services.
- Assists in the continued development of the verification, admission, and reimbursement processes.
- Performs identified back-up functions for the Insurance Verification Coordinator and other Patient Accounts Coordinators as identified.
SUCCESS CAPABILITIES:
- Two (2) or more years’ experience with electronic medical records preferred.
- High school diploma required.
- Proficient in Microsoft Word, Excel, and Outlook.
- Ability to compose and type business correspondence.
- Must be detail oriented and be able to work in a fast-paced environment.
- Must demonstrate strong customer service and communication skills.
- Flexibility to work both independently and in a team environment.
DETAILS:
- Total Rewards Package to include Retirement, Health, Dental, Vision, voluntary benefits and Corporate Discounts
- Tuition Assistance
- Non-exempt role
- Technology Package
- Protocols in place for wellbeing during COVID-19
