Hospice Medicare Billing and Collections Representative

It’s inspiring to work with a company where people truly BELIEVE in what they’re doing!

When you become part of the Chapters Health Team, you’ll realize it’s more than a job. It’s a mission. We’re committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

• Role:
• The Billing and Collection Representative is responsible for processing and submission of third party claims, denial management, and account resolution.

• Qualifications:
• •High School Diploma or GED
• •Minimum of one (1) year of medical billing and collection experience
• •Knowledge of third party billing and state and federal collection regulations preferred
• •Ability to prioritize and multi-task independently with little supervision
• •Must be self-motivated and service oriented
• •Excellent written and verbal communication skills
• •Accurate typing and data entry skills

• Competencies:
• •Satisfactorily complete competency requirements for this position.

• Responsibilities of all employees:
• •Represent the Company professionally at all times through care delivered and/or services provided to all clients.
• •Comply with all State, federal and local government regulations, maintaining a strong position against fraud and abuse.
• •Comply with Company policies, procedures and standard practices.
• •Observe the Company's health, safety and security practices.
• •Maintain the confidentiality of patients, families, colleagues and other sensitive situations within the Company.
• •Use resources in a fiscally responsible manner.
• •Promote the Company through participation in community and professional organizations.
• •Participate proactively in improving performance at the organizational, departmental and individual levels.
• •Improve own professional knowledge and skill level.
• •Advance electronic media skills.
• •Support Company research and educational activities.
• •Share expertise with co-workers both formally and informally.
• •Participate in Quality Assessment and Performance Improvement activities as appropriate for the position.

• Job Responsibilities:
• •Prepares and submits accurate billing to third party payor’s and self-pay invoices.
• •Identifies and resolves billing clearinghouse rejections.
• •Conducts root cause analysis on unpaid accounts receivable (AR) and resolves with third party payor’s.
• •Analyzes and resolves credit balances.
• •Handles incoming and outgoing customer service calls to third party payor’s, outside providers and patients/guarantors to resolve and achieve account resolution.
• •Processes correspondence.
• •Initiates and resolves technical denial appeals.
• •Identifies payor denial and cash fluctuation trends and escalates as appropriate.
• •Performs other duties as assigned.

Compensation Pay Range:

$18.43 - $27.43

This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.

All Chapters Health System employees performing services for Florida affiliates are submitted through the Florida Care Provider Background Screening Clearinghouse to verify eligibility after a conditional offer of employment is made as well as ongoing eligibility. For more information, please visit https://info.flclearinghouse.com/ .