What are the responsibilities and job description for the Billing Specialist position at Symbii Home Health and Hospice?
JOB SUMMARY
Providing world class best practices for billing, cash collections, and accounts receivable functions. Collaborating with the Pennant Service Center AR Resource and Market 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
- Review and process home health claims for accuracy and completeness.
- Ensure timely submission of claims according to payor standards.
- Monitor aging reports and work with payors to resolve claim issues.
- Reading and interpreting remittance advice
- Correctly identify the cause of denials and respond accordingly
- Review unpaid accounts to determine status and taking appropriate action to ensure payment
- Reviews, identifies and reports potential payer trends and issues to Revenue Cycle Manager
- Maintain accurate records of billing activities and update patient accounts as needed
- Self-managing caseload of clients, including claim follow-up and clerical tasks
- 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
- Initiate private pay collections after insurance cancellation, denial or other issue
- 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)
- At least three years’ experience in health care billing and collections preferably in home health and/or hospice operations.
- 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, service center personnel, referral sources and payers.
- Demonstrates ingenuity, autonomy, assertiveness, flexibility and cooperation in performing job responsibilities.
PHYSICAL REQUIREMENTS
Please complete based on a normal day’s work. Employees are asked to sign a statement indicating whether they can perform the essential functions of their position. Requests for accommodation will be considered on an individual basis.
This Job
10 lbs
25 lbs
10 lbs
50 lbs
25 lbs
10 lbs
100 lbs
50 lbs
20 lbs
Very Heavy
> 100 lbs
> 50% of day
20% -50%of day
Up to 20% of day
Twisting/turning from waist
Left/right foot movement
Push/Pull objects
Reaching above shoulder level
Reaching below shoulder level
Handing (holding, grasping, working with hands)
Repetitive movement of the hand (includes typing and ten-key use)
Check if Appropriate
Senses needed to perform essential functions of the position: Hearing, talking, depth perception, color, vision, touch and smell.
Maintain a stable posture and gait with hands free to perform anticipated or routine and emergent patient care.
Endurance (cardiovascular fitness)
Physically and mentally able to work extended hours when necessary
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.
