Patient Account Representative, Home Health and Hospice Administration

Responsibilities

Under the supervision of the Patient Accounting and HIM Manager, this position is responsible for the timely and accurate billing of commercial/group insurance/Medicare/Medi-Cal/managed care and self-pay home health/hospice accounts, posting of payments/remittance advices, review of unpaid claims/patient accounts, and use procedural guidelines to reduce the outstanding dollars on accounts receivable. This includes the billing and electronic submission of claims; performing consistent collection and accounts receivables follow-up practices;

processing and posting of payments; identification and preparation of appropriate write-offs; accurate resolution of all credit balances, and timely response to assigned payer correspondence to ensure proper claim reimbursement. Understands Home Health and Hospice billing rules and demonstrates compliance to federal, state billing requirements. Ensures compliance to payer contracted billing requirements. Verifies all pertinent data for completeness and accuracy. Collaborates with all teams and payers to effectively process clean claims, obtain reimbursement, and resolve patient accounts.