Hospice Room & Board Billing Specialist

Hospice Room and Board Biller page is loaded## Hospice Room and Board Billerlocations: Gilchrist Hunt Valleytime type: Full timeposted on: Posted 2 Days Agojob requisition id: JR106910Under 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 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, communicates with nursing home partners.* Performs all inpatient room and board billing.* Collaborate with business development managers ongoing.* Balancing 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.* Process any late charge claims, claims resubmission and/or claim corrections to payors.* Submit 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.* Troubleshoot any claim discrepancies to resolution.**All roles must demonstrate GBMC Values:**Respect*I will treat everyone with courtesy. I will foster a healing environment.** Treats others with fairness, kindness, and respect for personal dignity and privacy* Listens and responds appropriately to others' needs, feelings, and capabilitiesExcellence*I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.** Meets and/or exceeds customer expectations* Actively pursues learning and self-development* Pays attention to detail; follows throughAccountability*I will be professional in the way I act, look and speak. I will take ownership to solve problems.** 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 timeTeamwork*I will be engaged and collaborative. I will keep people informed.** 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 othersEthical Behavior*I will always act with honesty and integrity. I will protect the patient.** Demonstrates honesty, integrity and good judgment* Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkersResults*I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.** 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 manages time efficiently**Pay Range**$19.92 - $29.87Final 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.*Situated in scenic Towson, GBMC represents more than just a hospital; it's a legacy of over 60 years in premier healthcare. Our beautiful suburban campus is home to a facility with over 250 beds, 23,000 admissions, and 52,000 emergency room visits each year. GBMC is currently seeking talented, compassionate employees to support patients of the communities we serve. GBMC has also been named "best place to work!"**At GBMC Health Partners, we don't just provide comprehensive medical care - we build lasting relationships. When it comes to the care of our patients, for us, it's personal. Whether you're a physician leading proactive health strategies, a nurse practitioner providing care, or a medical assistant ensuring seamless operations, your role here is pivotal.***What We Offer:*** Competitive salary and generous paid time off* Free parking* Monthly MTA bus pass subsidy-85% paid by GBMC "if applicable"* Company subsidized onsite fitness and wellness center "if applicable"* Pre-paid tuition to pursue professional development, additional certifications, and degree programs* Comprehensive health, dental, and vision coverage* 401 (a) and 403 (b) retirement savings plan #J-18808-Ljbffr