Hospice Billing Coordinator Job at Enhabit Home Health & Hospice
Encompass Health’s home health & hospice services are now Enhabit Home Health & Hospice. We remain committed to delivering a better way to care for our patients and their loved ones, helping them achieve their specific care goals in the comfort and safety of their own homes. As one of the largest Medicare-certified home health and hospice providers in the nation, we continue to set the industry standard for superior home-based care.
Hours: Monday - Friday, 8am-5pm
Remote Work Eligibilty:
Employee will need to be office based for the first 90 days of employment. Once fully trained, employee will be eligible for a
hybrid-remote schedule with 2-3 days in office each week
.
The hospice billing coordinator is responsible for assigned patients from the point of referral through eligibility, verification and election of benefits (EOB) workflow, to zero balance in accounts receivable . This position is responsible for ensuring that the payor is set up accurately; verified coverage, benefits, election number is accurate in Homecare Homebase (HCHB).
The hospice billing coordinator owns their assigned payors, states and patients; this includes one hundred percent compliant billing, review of payment/EOB, processing of any required funds, and coordinating any required adjustments.
Responsibilities
- Monitor HCHB for eligibility, verification, validation and authorization of the payor source entered upon referral, and ensure accurate and compliant payor set-up.
- Validate and document contracted status with branch office during eligibility/workflow stage in HCHB; enter billing coordination note in HCHB accordingly.
- Validate plan requirements for precert-authorization-lock in, and according to payor source guidelines, validate hospice benefit number, lock in with other agency, primary versus secondary payors, deductible, copay, coinsurance, covered versus non-covered, service limits, lifetime benefit limit, and level of care guidelines for routine, general inpatient, respite and continuous care; enter billing coordination note(s) in HCHB accordingly.
- Verify and document any special circumstances or handling that will be required to bill and obtain accurate payment; enter billing coordination note in HCHB if applicable.
- Document room and board eligibility with effective dates and out of pocket amounts in a HCHB billing coordination note for all assigned room and board eligibility workflow.
Qualifications
- Must have a high school diploma or equivalent.
- An associate degree in accounting, business, or related field is desired.
- Two years of experience in Medicare or other insurance billing, coding, and/or related billing tasks is preferred.
- A certification in billing or medical terminology is preferred.
- Must have demonstrated use of a 10-key and be able to type 45 words per minute.
- Must have demonstrated experience with medical terminology and data entry.
- Must be adept at communicating effectively with a broad range of individuals to foster mutual respect.
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
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