Billing Specialist

Guardian Angel Hospice seeks an experienced Billing Specialist knowledgeable in hospice billing and payment methodologies. The Billing Specialist is responsible for the daily operation of processing patient accounts in accordance with policies and procedures. The Billing Specialist will review incoming data to ensure its validity, correct information as needed, and process the account with the appropriate insurance company for payment. Will document actions taken, answer inquiries involving individual accounts, and research problem accounts to ensure payment.

The Billing Specialist will:

• Serve as the primary source for billing of claims to Medicare, Medicaid, Managed Care, and Commercial Insurance Companies
• Analyze the patient’s medical record prior to billing to ensure required paperwork and documentation are present.
• Organized, efficient, and timely processing of all billing activities throughout the month.
• Will conduct research and investigate any charges denied for lack of authorization and/or out of range date span. Provide supporting data to assist in any denials of charges. Initiate appeals and submit supporting documentation for reconsideration of denial.
• Maintenance of electronic billing initiatives and files for transmission.
• Resolution of all on-going payer issues via appropriate contacts/parties at the insurance company. Utilization of all insurance-provided tools for greater and more efficient collection activity. Report all payor trends to management.
• Maintain open communication with management on billing issues and systematic issues. Accountable for communication of issue(s) to all parties and implementing corrective action plans when necessary.
• Assist with cash posting duties when necessary, including transfers, credit balance review, and refund entries.
• Maintain current knowledge of industry specific trends and authorization information in matters of reimbursement and regulatory policies and practices.

Job Requirements

• H.S. Diploma/GED is required.
• At least 2 years of experience in a Health Care environment is required, preferably in a home health setting.
• Basic understanding of UB04 billing codes and requirements.
• Proficient in Microsoft Office, including intermediate Excel skills.
• Experience with Hospice Billing preferred.
• Must possess good problem-solving skills.
• Must be able to work under pressure of deadlines.

Guardian Angel Hospice is a premier, locally owned hospice organization serving 30 counties. We empower patients in the final phase of incurable illnesses with exceptional care. We are committed to the success of our employees, offering unmatched training, competitive pay, and numerous extra pay opportunities that reflect your hard work. When you join our team, you can confidently expect:

• Competitive wages
• Comprehensive benefits available after just 30 days
• Flexible scheduling that promotes work-life balance
• Paid holidays and generous vacation/sick time

Join Guardian Angel Hospice and be a vital part of making a significant impact in the lives of patients and their families!