Billing Specialist

Remote Full-time
AdamsPlace is seeking a Billing Specialist to manage patient billing processes and ensure timely payments. The role involves generating clean claims, following up on payments, and maintaining accurate billing files. Responsibilities Prepares and maintains patient billing files Prepares Notice of Elections for Medicare patients and enters data into the Fiscal Intermediaries data entry program Participates in the quality program (IOP) Reviews and edits claims prior to billing to ensure accurate and clean claim submission Meets all billing and accounts receivable deadlines Prepares and distributes unsubmitted billing list to appropriate personnel weekly Reviews all remittance advices for contractual adjustments, withholds and bad debt. Attaches documentation for justification, as needed Follows-up by phone call to payers on open dates of service for payments, denials and resubmission of claims, if necessary Documents all accounts receivable follow-up and maintains in patient billing file Prepares and bills Medicare Secondary Payer claims through the Fiscal Intermediaries direct data entry program Reviews and edits claims in claims correction section of on-line system to ensure on-going processing for payment via direct data entry, daily On a quarterly basis and upon signature by the Director of Operations/Reimbursement, prepares and sends to Fiscal Intermediary Medicare, credit balance reports for each Hospice office Responsible for taking and processing of referrals, when needed Responsible to supervise Billing, Referral Intake and Scheduling personnel in the absence of the Director of Operations/Reimbursement Maintains branch locations monthly unbilled if assigned Reports any ADR’s to Compliance Officer and Regional Director of Clinical Care Skills High school graduate or the equivalent preferred Must be experienced with PC's and be familiar with common office software, such as Microsoft office and spreadsheets, etc Must be well organized and detail-oriented Must be able to communicate articulately and comprehend written and verbal communications Benefits Competitive Pay Eligible for benefits within 60 days Health Benefits (Medical, Dental, Vision); health savings account Earned Time Off 401 (K) plan with company match Paid Training Mileage Reimbursement Tuition Reimbursement Flexible Scheduling Career Advancement Opportunities Company Overview AdamsPlace is affiliated with National Healthcare Corporation and founded by Dr. It was founded in 1997, and is headquartered in Murfreesboro, Tennessee, US, with a workforce of 201-500 employees. Its website is
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