Job Description

Job Description

Job Description

At Crossroads Hospice & Palliative Care, our office teams play a crucial role that extends beyond administrative tasks and paperwork. Every team member is an essential part of the compassionate care we provide to our patients and their families. While our caregivers deliver vital medical support, we ensure that all aspects of our patients' needs are addressed. Our relationships, founded on trust, are the cornerstone of communication within our interdisciplinary teams.

We believe that end-of-life care should never feel transactional, regardless of economic factors. Every person we care for deserves to be treated with dignity, compassion, and respect, no matter the circumstances. Together, we strive to make each moment count, providing comfort and meaning not just to the patients but also to their loved ones, who will cherish these memories forever.

Billing Coordinator Responsibilities:

• Obtain referrals and pre-authorizations as required for procedures
• Check eligibility and benefit verification
• Review patient bills for accuracy and completeness and obtain any missing information
• Prepare, review, and transmit claims using billing software, including electronic and paper claim processing
• Knowledge of insurance guidelines, including HMO/PPO, Medicare, and state Medicaid
• Follow up on unpaid claims within standard billing cycle timeframe
• Check each insurance payment for accuracy and compliance with contract discount
• Call insurance companies regarding any discrepancy in payments if necessary
• Identify and bill secondary or tertiary insurances
• All accounts are to be reviewed for insurance or patient follow-up
• Research and appeal denied claims
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts
• Set up patient payment plans and work collection accounts
• Update billing software with rate changes

Billing Coordinator Qualifications:

• High school diploma
• Knowledge of business and accounting processes usually obtained from an Associate Degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred
• Minimum of 1 to 3 years of experience in a medical office setting
• Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Knowledge of accounting and bookkeeping procedures
• Knowledge of medical terminology likely to be encountered in medical claims
• Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections

Billing Coordinator Schedule & Benefits:

• Monday to Friday, 8:30 AM to 5:00 PM
• Be part of a team willing to grow, listen, be heard, and be challenged.
• Health, Dental, Vision, 401k, PTO.
• Competitive industry pay.

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