Billing Coordinator

Company: Crossroads Hospice & Palliative Care
Location: Cleveland
Posted on: September 22, 2023

Job Description:

Death is a meaningful experience.Living the best life in our final moments requires caregivers who want to address fear and change the conversation to what is sacred.Stewarding the end of life journey well requires an unwavering clinical skill set balanced by the art of compassion.We believe compassion should not be a transaction. So we ask ourselves every day how do we do more as caregivers, as a team, and as an organization.We believe no one should die alone. So we put patients before profit to ensure a member of our team can be at the bedside.Crossroads exists because the model of healthcare today is full of ultimatums rather than choices. Look, we understand this business is difficult, it's part of what drives us to stand up and find new ways to satisfy the heart of what drives our teams to do more.If you've read this ad and it resonates with you in any way, then we want to speak with you!Job DutiesObtain referrals and pre-authorizations as required for proceduresCheck eligibility and benefit verificationReview patient bills for accuracy and completeness and obtain any missing informationPrepare, review, and transmit claims using billing software, including electronic and paper claim processingKnowledge of insurance guidelines, including HMO/PPO, Medicare, and state MedicaidFollow up on unpaid claims within standard billing cycle timeframeCheck each insurance payment for accuracy and compliance with contract discountCall insurance companies regarding any discrepancy in payments if necessaryIdentify and bill secondary or tertiary insurancesAll accounts are to be reviewed for insurance or patient follow-upResearch and appeal denied claimsAnswer all patient or insurance telephone inquiries pertaining to assigned accounts.Set up patient payment plans and work collection accountsUpdate billing software with rate changesEducation and Experience RequiredHigh school diplomaKnowledge of business and accounting processes usually obtained from an associate's degree, with a degree in Business Administration, Accounting, or Health Care Administration preferredMinimum of 1 to 3 years of experience in a medical office settingKnowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.Knowledge of accounting and bookkeeping proceduresKnowledge of medical terminology likely to be encountered in medical claimsCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgroundsProblem-solving skills to research and resolve discrepancies, denials, appeals, collectionsShift:Monday to Friday 8:30 AM to 5:00 PM05g770SJQB

Keywords: Crossroads Hospice & Palliative Care, Cleveland , Billing Coordinator, Accounting, Auditing , Cleveland, Ohio