What are the responsibilities and job description for the Billing staff position at Signature Healthcare at Home?
JOB SUMMARY
Providing world class best practices for billing, cash collections, and accounts receivable functions. Collaborating with the Pennant Service Center AR Market Leader in developing, monitoring, and maintaining those world class best practices for their Agency. Partnering with other billers, AR Market Leaders, and Service Center AR Resources within the Home Health & Hospice Segment in shared ownership to ensure a world class AR function across the organization.
DUTIES & RESPONSIBILITIES
- Post all personal, insurance and liability payments from Remittance and EOBs to appropriate accounts with minimum errors.
- Apply manual payments and auto payments to accounts for payor types of Medicare, Medicaid and Commercial Insurances
- Analyze EOB information, including co-pays, deductible, co-insurance, contractual adjustments, denials and more to very accuracy of patient balances.
- Reading and interpreting remittance advice
- Investigate the source of unidentified payments to ensure they are applied to appropriate accounts. If necessary, will contact the sender to clarify where the payment should be posted
- Assist in performing comparison of downloaded files to the Direct Deposit and correct any discrepancies
- Assist in setting up Electronic Remittance Advices (ERA) for Commercial and Medicare payors
- Maintain accurate records of billing activities and update patient accounts as needed
- Contact patients, insurance or third-party administrators when clarification of information is needed to successfully post payment
- Research inquiries in a professional and courteous manner and work with Accounts Receivable team members, to identify and resolve escalated customer concerns in a timely manner
- Reconcile cash log daily and resolve variances
- Collaborate with the billing team to improve billing processes and efficiency
- Team-oriented tasks that including assisting co-workers when needed, reaching team goals, meeting deadlines, and being an overall team player
- Maintains confidentiality of and compliance with all company and patient information in accordance with federal, state, and local regulations, HIPPA regulations and Company policies.
- Collaborate with healthcare providers to obtain missing or additional documentation
- Maintains comprehensive working knowledge of payor contracts and ensures that payors are billed according to contract provisions. Represents and acts on behalf of agency in resolving conflicts with payers.
- Maintains comprehensive working knowledge of government billing regulations including Medicare and Medicaid regulations and serves as a resource for agency personnel.
The above statements are only meant to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
JOB REQUIREMENTS (Education, Experience, Knowledge, Skills & Abilities)
- Experience in health care billing and collections preferably in home health and/or hospice operations, preferred.
- Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills.
- Demonstrated capability to accurately manage detailed information.
- Able to work tactfully and collaboratively with colleagues, peers, referral sources and payers.
- Demonstrates ingenuity, autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.
