Job Description
Job Description
POSITION SUMMARY:
Responsible for managing accurate, timely completion and submission of all the billing,
collections, and accounts receivable functions of the organization. Participate in departmental timelines and month end procedures. Analyze and reports payment and denial trends by financial class.
EDUCATION AND QUALIFICATIONS:
• High school diploma/GED required. Associates degree or equivalent experience preferred.
• Three years of experience in hospice, home health or physician billing, six years preferred.
• Proficient in Microsoft Office with strong working knowledge in Excel and Word preferred.
ESSENTIAL JOB RESPONSIBILITIES:
• Reviews accuracy of patient data to ensure compliant generation of claims to payers
• Ensures reimbursement through efficient, accurate and timely billing process for effective accounts
receivable management and completes appeals as needed on outstanding accounts.
• Generates claims for submission to payers in accordance with established schedule.
• Analyze, monitor and work the aged accounts receivable; correcting, resubmitting or problem solving in order to complete the billing process.
• Provide reports to the Revenue Cycle Director, as needed.
• On call coverage, as needed.
• Identify, prepare and submit patient account adjustments to Revenue Cycle Director.
• Assist in reviewing accounts for the Quarterly Medicare Credit Balance Report.
• Reviews pre-billing reports to ensure accurate account setup prior to billing and participates in month
end close.
• Assist in system testing for upgrades/patches and new software.
• Identifies payment and denial trends with the payers and reports them to the director.
• Protects the confidentiality of patient and organization information through effective controls and
supervision of billing operations and serves as a resource for appropriate organization personnel.
• The incumbents may be requested to perform job-related tasks other than those stated in this
description.
Company DescriptionGulfside Healthcare Services is a community-based nonprofit organization providing hospice and palliative services in Pasco County, and home health care throughout Pasco and Pinellas counties for over 30 years. We are there when our patients need us the most – providing comfort care for those living with a life-limiting illness, their loved ones and those who have lost someone special in their lives. Patients in Gulfside’s care know dignity, peace and comfort through the support and understanding of our professional staff and dedicated volunteers.
Our vision is to be the Provider of Choice for people in need and the Employer of Choice for talented, skilled and creative professionals.
It is the policy of Gulfside Healthcare Services, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, marital status, status with regard to public assistance, status as a disabled veteran, recently separated or other covered veteran, or an other characteristic protected by federal, state or local law.
Company Description
Gulfside Healthcare Services is a community-based nonprofit organization providing hospice and palliative services in Pasco County, and home health care throughout Pasco and Pinellas counties for over 30 years. We are there when our patients need us the most – providing comfort care for those living with a life-limiting illness, their loved ones and those who have lost someone special in their lives. Patients in Gulfside’s care know dignity, peace and comfort through the support and understanding of our professional staff and dedicated volunteers.\r\n\r\nOur vision is to be the Provider of Choice for people in need and the Employer of Choice for talented, skilled and creative professionals.\r\n\r\nIt is the policy of Gulfside Healthcare Services, Inc. to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, marital status, status with regard to public assistance, status as a disabled veteran, recently separated or other covered veteran, or an other characteristic protected by federal, state or local law.