Trinity Health Hospice Biller and Collector - FT in Athens, Georgia
This position is responsible for preparing and submitting hospice claims to all payers as well as follow up with payers regarding unpaid or denied claims. This position will also assist with insurance verification. Must have prior knowledge of hospice billing along with Medicare direct-data-entry system.
Understands the electronic billing system and the FSS system. Has knowledge of CPT occurrence condition and value Codes and how they relate to billing and follow-up. Understands the MSP Questionnaire, common working file, RTP claims; and pended claims. Works remits to ensure balances billed to patients or secondary insurances are correct. Provides assistance to patients, either by telephone or in person, in handling their accounts. Understands how to check status of Medicare claims on the FSS system. Able to adjust claims accordingly to get returned or pended claims paid. On a daily basis, works all incoming mail. Works collector queue daily to ensure the timely follow-up of accounts resulting in lowering the AR and increasing cash flow. To promote customer service by being friendly, professional and respectful externally as well as internally at all times. Respects and maintains confidentiality in all matters relating to patients. Follows up on accounts with Insurance and pending payments. Responsible for incoming mail or correspondence that relates to payers.
Job Number: 00108685
Location: Athens, GA
Organization Name: St. Mary's Healthcare Systems
Facility: SMAGA - St. Mary's Health Care System
Employment Type: Full time
Shift: Day Shift