Hospice Room and Board Biller

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, CareFirst, 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 and 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 and communicates with nursing home partners. Performs all inpatient room and board billing. Collaborates with business development managers ongoing. Balances 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. Processes any late charge claims, claims resubmission and/or claim corrections to payors. Submits 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. Troubleshoots any claim discrepancies to resolution. Values Respect: Treats others with fairness, kindness, and respect for personal dignity and privacy; listens and responds appropriately to others’ needs, feelings, and capabilities. Excellence: Meets and/or exceeds customer expectations; actively pursues learning and self‑development; pays attention to detail and follows through. Accountability: 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: Works cooperatively and collaboratively with others for the success of the team; addresses and resolves conflict in a positive way; seeks out the ideas of others to reach the best solutions; acknowledges and celebrates the contribution of others. Ethical Behavior: Demonstrates honesty, integrity and good judgment; respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers. Results: Embraces change and improvement in the work environment; continuously seeks to improve the quality of products/services; displays flexibility in dealing with new situations or obstacles; achieves results on time by focusing on priorities and managing time efficiently. Pay Range $19.92 - $29.87 Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs. Equal Employment Opportunity GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law. #J-18808-Ljbffr Role, Inc.