Hospice Payroll, Billing & Donations Coordinator - (San Marcos) in San Marcos, Texas For Sale
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES : Submits Hospice care claims in a timely manner using Horizon billing software to Medicare, Medicaid and other commercial insurances. Register hospice admissions into the through the Horizon patient care management system. Maintains account receivable equal to or less than 35 days. Coordinate with Nursing Homes & Medicaid on RUG rates for Room and Board billing. Request checks and sends payment to Nursing Homes for Medicaid Room & Board within 30 days. Review rejected claims from insurance payors and re-bill. Completes accounts payable check requests for nursing home reimbursement. Conduct Medicare HIQA checks in the DDE system. Verify insurance benefits on commercial accounts and re-certifications. Submits accounting and billing information to CTMC accounting for end of month reports. Assign new patient account numbers on Hospice patients. Addresses billing conflict resolution with payors holding claims. Maintains monthly record of invoices for the Medical Director and Consulting Physician. Attend hospice fundraisers & accept payments & donations as needed. Responsible for Hospice accounts receivable, payable and petty cash process. Prepare Hospice billing charts on admission and maintains duration of service. Monitor DDE system on a daily basis until accounts are paid. Verifies insurance information on Hospice patients including Medicare HIQA checks in DDE system and recertifies patient's insurance as required by insurance case manager. Monitors timely submission of nursing facility forms #xxxx and #xxxx: Certification of Terminal Illness and Hospice Election form. Bill insurance claims, track billing, post payments, and file paid claims. Process donations, post in Raiser's Edge, prepare deposit and deliver deposits/verify with Accounting Staff in a timely manner. Ensure donation receipt and acknowledgement sent to donor within 10 business days of donation. Enter in-kind donations in Raiser's Edge on a monthly basis. Process and verify payroll in a timely manner. Collect invoices, place and code in BasWare. Monitor paid invoices. Track inpatient days for CTMC Hospital and submit quarterly. Responsible for assisting Human Resources with maintaining and updating hospice employee files. Compiles payroll information and data entry. Generates requested information and reports from Horizon ie employee productivity, end-of-month for Director. Attend weekly Hospice meetings as requested. Complete other assigned tasks in a timely manner. Adhere to agency policies and procedures to maintain regulatory compliance. Adheres to the SHARE principles and the Employee Code of Conduct. EDUCATION AND EXPERIENCE REQUIRED : High school graduate. Minimum of one year experience in Hospice billing, to include electronic filing of claims. General accounting knowledge. Minimum of one year experience in verification of commercial insurance benefits. Knowledge of Medicare and Medicaid billing requirements.
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