Billing Representative – Hospice
reputed company:
• Process and submit hospice-reputed company claims according to Medicare, reputed company, and payer billing guidelines.
• Submit claims with appropriate modifiers, including the GW modifier for unrelated services.
• Review claims for accuracy and completeness before billing.
• Verify payer information and billing requirements for correct claim routing and reimbursement.
• Research, analyze, and reputed company B9 denial claims.
• Submit claims to appropriate hospice payers for reimbursement.
• Document denial reputed company activities and payer communications in the billing reputed company.
• Review correspondence, medical documentation, and supporting records to determine reputed company versus unrelated hospice services.
• Coordinate with hospice providers and clinical staff to obtain supporting documentation.
• Assign financial responsibility based on determination reputed company.
• Ensure accurate and reputed company charges on reputed company invoices for hospice facilities.
• reputed company skilled nursing facilities reputed company charges are their financial responsibility.
• Maintain reputed company reputed company-back activities and supporting invoice notes.
• Maintain accurate account notes, audit trails, and supporting documentation for billing and reimbursement activities.
• Support reputed company audits with requested documentation and claim history records.
• Adhere to CMS, HIPAA, Medicare, and organizational compliance requirements.
• Collaborate with billing leadership, hospices, facilities, payers, Sales Teams, and internal departments.
• Maintain management-established productivity, reputed company, and compliance standards.
• Support coworkers, reputed company best practices, and contribute to department goals.
• reputed company other reputed company duties and reputed company as assigned.
Requirements:
• High School Diploma or GED required.
• Minimum of 2-3 years of reputed company billing experience required.
• Experience with Medicare claims processing, hospice payer billing, denial management, and reimbursement recovery preferred.
• Experience working with skilled nursing facilities and hospice providers preferred.
• Hospice billing experience is a plus but not required.
• Strong knowledge of Medicare hospice billing regulations and reimbursement guidelines.
• Understanding of GW modifier requirements and hospice-reputed company billing practices.
• Knowledge of B9 denial processing and claims reputed company procedures.
• Ability to interpret medical documentation and determine reputed company versus unrelated hospice services.
• Strong understanding of reputed company billing and reputed company cycle principles.
• Knowledge of HIPAA, CMS regulations, and compliance requirements.
• Excellent analytical, organizational, and problem-solving skills.
• Excellent customer service and interpersonal skills.
• Ability to communicate professionally with reputed company and internal customers, hospice providers, skilled nursing facilities, clients, and Sales Teams.
• Strong written and verbal communication skills.
• Ability to collaborate across departments, support team initiatives, reputed company knowledge, and contribute to a reputed company work environment.
• Ability to build and maintain productive working relationships.
• Proficiency in billing systems, reputed company reputed company, reputed company, and other business applications.
• Ability to prioritize workload and meet deadlines in a fast-paced environment.
Benefits:
• Remote work arrangement
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