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Title

Patient Accounts Specialist 

Description

 

Responsible for preparation, submission and management of claims to all insurance carriers. Maintain knowledge of current billing requirements for all insurance carriers. 

 

Track and monitor financial activities of all patients with co-pays, deductibles, financials, spend downs or liabilities. Re-verify Medicaid monthly and commercial insurances each January. Obtains information regarding insurance benefits to determine patient responsibility.

 

Track all financial assessments approved by CFO and notify social worker and patient when new financial assessments need completed.

 

Reporting of all admissions, certifications and discharges to Medicare-81A’s and other insurance carriers as required.

 

Resolve billing issues of outstanding claims providing information needed such as medical records or denials from other insurance plans and maintain current aging of accounts receivables.

 

Verify all Non-Medicare Service Coverage Forms to determine if self-pay benefits may be billed to patients. Monitor and mail patient statements as determined per hospice policies.

 

Prepares, updates and maintains nursing home pro-active billing, communicates with nursing homes as necessary, obtain signed spreadsheets and submit timely to Accounts Payable Department. Maintain Quarterly R&B rates.

 

Responsible for all cash posting and reconciliation.  Track all financial Assessments.

 

Maintain confidentiality of patient information.

Maximize use of computer and other resources to effectively improve time management.

 

Work cooperatively with internal and external customers to resolve all billing issues.

Serve as an intermediary between patients and their healthcare provider as needed.

 

Special project and other duties may be assigned

 

Follows all applicable federal and state regulations, including HIPAA, compliance and employment regulations. Complies with all HOD policies and procedures.

 

Other duties as assigned.

 
Position Requirements

Associate's degree (A. A.) or equivalent from two-year college or technical school; or one to two years related experience and/or training; or equivalent combination of education and experience.

Preferred experience in Accounts Receivable and working with Medicare/Medicaid billing.

 
Full-Time/Part-Time Full-Time  
Shift First  
Position Patient Accounts Specialist  
Post Internal Days 0  
Exempt/Non-Exempt Non-Exempt  
Req Number FIN-09-00001  
Location Dayton  
About the Organization Ohio's Hospice is an affiliation of non-profit hospice organizations including Hospice of Dayton, Hospice of Miami County and Hospice of Butler & Warren Counties offering superior care and superior services to patients and their families in southwest Ohio. Counties served by the organizations include Butler, Champaign, Clark, Clinton, Darke, Greene, Miami, Preble and Shelby Counties. Care is provided in patient homes, extended and assisted living facilities, two Hospice House locations in Montgomery and Butler County, and an inpatient hospice center in Miami County.

You may find a deeper meaning in your work, or rediscover why you chose your profession in the first place. The passion you may have been missing in previous workplaces can be found at our organizations. We offer a full range of benefits including generous paid vacation/time off, competitive health, dental, vision, STD/LTD and life insurance, matching 401(k), mileage and tuition reimbursement, Wellness initiatives and more. Our culture encourages personal empowerment, teamwork and professional growth. We are proud to be Equal Opportunity Employers.
 

This position is currently not accepting applications.

To search for an open position, please go to http://HospiceofDayton.appone.com



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