Hospice Room and Board Biller

## Hospice Room and Board Biller Apply locations:
Gilchrist Hunt Valley time type:
Full time posted on:
Posted Todayjob requisition :
JR106953

Under direct supervision, performs all billing and collection functions for nursing home pass through room and board billing. Performs Medicaid eligibility, comprehensive review of patients residing in nursing facilities related to room and board billing. Provides excellent customer service and collaboration with our nursing home partners. Performs all inpatient unit room and board billing. Performs eligibility of all payers as coverage in the department as necessary.
** Education
* * High School or GED equivalent.
** Experience
* * Three years’ medical billing, collection and account resolution experience.  Previous nursing home room and board billing desired
** Knowledge,

Skills and Abilities

*** Thorough knowledge and understanding of medical billing, insurance and private pay.
* Strong knowledge of all medical billing requirements for Medicare, Care First, Medical Assistance, Commercial insurance, and HMO carriers
* Strong collection skills, including claims follow-up and revenue cycle practices.
* Builds a good rapport with nursing facilities.
* Ability to multi-task, set priorities, and manage time effectively.
* Exemplary computer skills, including EMR knowledge and Microsoft Office including excel.
* Attention to detail and strong math skills.
* Skill in data analysis and interpretation Strong interpersonal skills
** Physical Requirements
*** Ability to sit, concentrate and pay close attention to detail
** Working Conditions
*** Normal office environment with little exposure to excessive noise, dust, temperatures and the like
** Principal Duties and Responsibilities
*** Manages assigned nursing home’s claims processing functions,from eligibility through claim resolution, including adjusting claims.
* Manages large account spreadsheets, communicates with nursing home partners.
* Performs all inpatient room and board billing.
* Collaborate with business development managers ongoing.
* Balancing claims to ensure payments from Medicaid are appropriate
* Ensures all payments to nursing facilities are valid.
* Manages assigned Epic work queues daily to ensure accurate billing and expedient claims follow-up.
* Process any late charge claims, claims resubmission and/or claim corrections to payors.
* Submit all claim files to Medicaid and other payers.  Including but not limited to file transfer  of payment files.
* Responds to patient and third party payor inquiries regarding patient accounts via e-mail, telephone, mail, and in person.
* Troubleshoot any claim discrepancies to resolution.
** All roles must demonstrate GBMC Values:
** Respect*I will treat everyone with courtesy. I will foster a healing environment.
** Treats others with fairness, kindness, and respect for personal dignity and privacy
* Listens and responds appropriately to others’ needs, feelings, and capabilities Excellence
* I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
** Meets and/or exceeds customer expectations
* Actively pursues learning and self-development
* Pays attention to detail; follows through Accountability
* I will be professional in the way I act, look and speak. I will take ownership to solve problems.
** Sets a positive, professional example for others
* Takes ownership of problems and does what is needed to solve them
* Appropriately plans and utilizes required resources for various job duties
* Reports to work regularly and on time Teamwork
* I will be engaged and collaborative. I will keep people informed.
** Works cooperatively and collaboratively with others for the success of the team
* Addresses and resolves conflict in a…