Job Category:

Revenue Cycle

Work Shift/Schedule:

8 Hr Morning - Afternoon

Northeast Georgia Health System is rooted in a foundation of improving the health of our communities.

About the Role:

Job Summary

Responsible for accounts receivable collections and billing for Hospice. Provides statistics to NGHS Accounting staff. Responsible for implementing billing procedures/processes in accordance with state and federal guidelines and regulations.  Maintains appropriate customer relations skills at all times, being sensitive to confidentiality requirements.  Possesses a positive attitude and displays empathy while supporting the financial policies of Northeast Georgia Health System. 

  

Minimum Job Qualifications

• Licensure or other certifications:

• Educational Requirements: High School Diploma or GED.

• Minimum Experience:

• Other:

Preferred Job Qualifications

• Preferred Licensure or other certifications:

• Preferred Educational Requirements: Two (2) years of college in Accounting, management or related field or equivalent experience in the healthcare finance field. Medicaid/Medicare financial experience preferred.

• Preferred Experience: Two (2) years experience in health care or accounts receivables experience preferred.

• Other:

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Job Specific and Unique Knowledge, Skills and Abilities

• PC proficient, ability to type 40 wpm, ability to use 10-key adding machine.

• Working knowledge of Hospice regulations, Palmetto and Medicare DDE

• Excellent interpersonal and communication skills including telephone proficiency and knowledge of medical terminology.  

• Knowledge of use of information systems, billing and accounts receivable applications.

Essential Tasks and Responsibilities

• Conducts billing and collection activities on accounts promptly and in accordance with organization policies in order to maintain the desired level of Accounts Receivable. Reviews delinquent accounts for system or staff errors prior to collection contacts. Adheres to NGHS credit and collection policies in assisting with billing and collection issues. Performs collection activities within the guidelines of the “Fair Debt Collections Act”. Bills all payers promptly according to governmental and long term care guidelines. Achieves the benchmark for accounts worked and dollars collected according to budgeted goals. Reviews accounts thoroughly for all possible means of payment prior to referring to outside collections. Assists admissions coordinator in completing and following up on necessary paperwork related to payment to insure payment is received timely. Updates billing and reimbursement rates in applicable software. Responds to requests from Fiscal Intermediaries, financial auditors and other regulatory sources by researching accounting details, running special reports, and answering direct questions.

• Coordinates and conducts facility billing in accordance with state and federal guidelines and regulations. Maintains patient account according to state regulations. Provides Hospice statistics to NGHS accounting department each month end according to organization guidelines. Provides monthly AR report to Billing Supervisor, Operations Manager and Director on a monthly basis. Works closely with auditors and surveyors as dictated by governmental and payer regulations. Oversees review of financial documents for completeness and accuracy for all new admissions and recertification's.

• Maintains patient financial accounts in the various systems according to department guidelines. Documents actions taken on patient's accounts to provide necessary information for fellow workers to follow. Posts payments and adjustments timely, maintaining a current status at each month end. Prepares and reviews final bills for appropriate and accurate clinical data and prepares them for billing.  Reviews supportive documents and appropriate documentation. Ensures accuracy of bills prior to submission. Prepares appropriate billing form/process for each patient in accordance with the requirements for the specific payor. Ensures compliance with the billing standards and regulatory guidelines to maximize reimbursement from all payors.  Maintains current knowledge of billing requirements and regulatory guidelines for all Hospice payors. Provides education to staff concerning mandated activities by regulatory bodies to ensure optimal reimbursement.