Medical Accounts Receivable Coordinator/Hybrid
Medical Accounts Receivable Coordinator/Hybrid
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Job Description
JOIN US IN MAKING THE MOST OF EVERY DAY!
Hospice of The Western Reserve operates in celebration of the individual worth of each life we strive to relieve suffering enhance comfort promote quality of life foster choice in endoflife care and support effective grieving.
WHY US
We believe that our success starts with our greatest asset:OUR EMPLOYEES!
We live our shared core values in everything we do:
COMPASSION. EXCELLENCE. EQUALITY. INTEGRITY. SERVICE. STEWARDSHIP.
We have a passion for purpose driven work! Do you
JOIN OUR FAMILY!
Performs account receivable processes including verifying medical insurance coverage auditing data elements related to reimbursement of services and collection of revenue from all payors in compliance with Hospice of the Western Reserves procedures and regulatory standards.
WHAT YOU WILL DO:
- Identifies new hospice care admissions for assigned teams.
- Ensures patients primary and all other medical insurances have been verified and documented in the electronic medical record.
- Setup and maintains patients primary secondary and other identified coverage in the Payor Source screen of the electronic medical record according to the requirements of the payors.
- Investigates and verifies patients medical insurance benefits when benefits change.
- Coordinates the Financial Assessment and Payment Agreement process for patients that are uninsured.
- Processes Medicare Notice of Elections according to established procedures.
- Analyzes and audits Level of Care against patient service location.
- Performs prebilling functions according to established procedures.
- Coordinates the Residential Room and Board process with the Social Workers at the Inpatient Units and processes room and board Payment Agreements charges payments and refunds as assigned.
- Followup on patient accounts per established procedures.
- Documents all followup on patient accounts in billing comments section in the electronic medical record.
- Prepares Billing Adjustments and Payment Adjustments according to established procedures.
- Maintains the Revenue Cycle Key Performance Indicators targets as established by the Chief Financial Officer.
- Interacts with patients/families regarding medical insurance benefits and reimbursement of services.
- Demonstrates effective Service Excellence skills according to agency standards.
- Works collaboratively with Revenue Cycle team members and other appropriate Hospice of the Western Reserve staff to ensure reimbursement of all services.
- Assists in the continued development of the verification admission and reimbursement processes.
- Performs identified backup functions for the Insurance Verification Coordinator and other Patient Accounts Coordinators as identified.
SUCCESS CAPABILITIES:
- Two (2) or more years experience with electronic medical records preferred.
- High school diploma required.
- Proficient in Microsoft Word Excel and Outlook.
- Ability to compose and type business correspondence.
- Must be detail oriented and be able to work in a fastpaced environment.
- Must demonstrate strong customer service and communication skills.
- Flexibility to work both independently and in a team environment.
DETAILS:
- Total Rewards Package to include Retirement Health Dental Vision voluntary benefits and Corporate Discounts
- Tuition Assistance
- Nonexempt role
- Technology Package
- Protocols in place for wellbeing during COVID19
CONDITIONS OF EMPLOYMENT:
- Compliance to Annual Flu Shot Policy or ability to provide exemption documentation
- Ability to provide proof of eligibility to work in the United States.
- High level of integrity ethics and professionalism.
NOTE:The responsibilities of this position are described above and they may be subject to change at any time due to reasonable accommodations or other reasons. Also this description in no way states or implies that these are the only duties to be performed by the employee occupying this position.
Applicants who may need reasonable accommodations to complete the application process may contact:
Careers at Hospice of the Western Reserve
17876 St. Clair Ave.
Cleveland OH 44114
Hospice of the Western Reserve is an Equal Opportunity Employer we recognize that diverse teams make the strongest teams and we encourage people from all backgrounds to apply.
Required Experience:
IC
Employment Type
Full-Time
