What are the responsibilities and job description for the Specialist Billing position at VITAS Healthcare?
Job Description
- Meets established daily productivity standards.
- Schedule and download the daily bill job files and processes for transmittal.
- Research, correct, and re-submit rejected and denied claims.
- Responsible for timely billing whether by paper or electronic claim in the appropriate claim format.
- Monitor insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in a timely manner- knowledge of questions to ask for proper processing.
- Responsible for identifying problems and solutions or enhancements to resolve billing issues including, but not limited to, billing frequency, required forms, and general billing requirements.
- Identify problem accounts and escalate as appropriate.
- Update the patient account record to identify actions taken on the account.
- Manages clearinghouse and payor accept / reject reports timely while ensuring all claim rejections are resolved within 72 hours of rejection occurrence.
- Logs repetitive errors or exceptions and reports them to management to ensure the admission record and related systems are properly updated and corrected.
- Coordinates with collectors and management to become familiar with the changing demands and requirements of payers in each state.
- Interacts with other areas and departments to troubleshoot and resolve issues that may not have standard documented solutions.
- Provide support to the Collectors by producing timely, accurate and complete billing documents.
- Stays abreast of changes in all editing processes as may be required.
- Acts as a resource for billing information and assists collectors and other staff members in producing any special documentation which may be required.
- Identify coding or billing problems from EOBs and work to correct the errors in a timely manner.
- Understands and serves and as subject-matter expert for billing specifications and requirements of assigned payers and states
- Understand Hospice Notice of Election (NOE) submission timing requirements and exceptions.
QUALIFICATIONS
EDUCATION
SPECIAL INSTRUCTIONS TO CANDIDATES
About Us
VITAS® Healthcare is the nation's leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you'll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee : You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.
All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heard-find your purpose at VITAS today.
Benefits Include :
Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.
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