Home Health Account Specialist - Hospice Home Care Business

Job Summary

This position is involved in all processes related to coding, cash posting, electronic and manual billing, credit balance resolution, posting error resolution, adjustment verification against state, federal and managed commercial contracts, suspense account reconciliation to include reporting of variances related to expected reimbursement verses actual reimbursement. Government and state reports must be completed and submitted timely for a Home Health patient to qualify. This position will identify any errors and/or omissions in reimbursement processes, unfavorable trends and assure Home Health compliance. The position will require extremely conscientious work organization, excellent communication skills, flexibility and the ability to perform detailed follow-through.

1. Ensuring patient inquiries are researched and resolved in a timely manner.
2. Ensuring that third party assignments and estate claims are handled in a fashion that protects the Home Health interest and funds.
3. Documenting/reviewing actions taken and obtained from the county welfare departments on pending medical accounts.
4. Assisting in the development, of the departmental annual strategies.
5. Completing required continuous training and education, including department specific requirements.
6. Trouble shooting so that the patient, family members, physician and Home Health Administrative staff member's expectations are met and/or exceeded.
7. Having complete understanding of all Home Health policy and procedures and is able to administer the policies according to the established stated and federal guidelines.
8. Ensuring that customers receive accurate responses to inquires in a manner that consistently meets or exceeds the expectations of McLeod Health.

Work Schedule: 80 hours bi-weekly

Qualifications:

• Must have excellent working knowledge of computers, requirements for electronic and manual billing to third party payers, accounting principles, medical terminology, medical coding and general office procedures to include standard typing skills of at least 45 wpm.
• Must be competent to perform data entry and to differentiate billing requirements amount various payer groups.
• Must be able to use excel, 10 key adding machine, and word processing.
• Must have excellent communication and organizational skills.
• Must be highly adaptable, critical thinker, problem solver and have the ability to initiate and make decisions to carry out work assignments within the guidelines provided.
• Three to five years of billing, collection, cash posting, general data entry and coding experience within a hospital and/or medical setting preferred.

Requirements: Degrees: High School/Ged