Hospice Billing Coordinator

About the role

Ensure our organization receives timely payment for the critical care we provide. As a Billing Coordinator, you'll manage the complete billing cycle for Medicare, Medicaid, private payors, and patient accounts - submitting accurate claims, tracking receivables, and resolving payment issues to maintain healthy cash flow that supports our healthcare mission. This role is perfect for a detail-oriented billing professional with home health or hospice experience who understands the complexities of healthcare reimbursement. You'll work independently to process claims, follow up on outstanding accounts, and maintain positive relationships with payors and patients - all while ensuring compliance with regulatory requirements.

Responsibilities

• Process and Submit Claims
• Accurately process and bill Medicare, Medicaid, private payor, and patient claims
• Ensure all claims meet payor requirements and organizational policies
• Prepare remittances for data entry
• Maintain complete and accurate billing records
• Alert management to late or missing documents required for billing
• Complete billing tasks within established timeframes
• Manage Accounts Receivable
• Monitor accounts receivable and track outstanding balances
• Follow up on overdue accounts and resubmit claims as needed
• Identify and escalate seriously overdue accounts to the billing manager
• Assist with collection activities to optimize cash flow
• Maintain organized tracking systems for all receivables
• Generate reports on billing and collection activities
• Ensure Accuracy and Compliance
• Verify billing information for accuracy before submission
• Ensure compliance with Medicare, Medicaid, and private payor regulations
• Maintain confidentiality of patient and organizational information
• Follow HIPAA guidelines in all billing communications
• Stay current with changing payor requirements and policies
• Identify and resolve billing discrepancies
• Communicate with Stakeholders
• Establish and maintain positive relationships with patients and payors
• Respond to billing inquiries from patients and families professionally
• Communicate with insurance companies to resolve claim issues
• Collaborate with clinical staff to obtain necessary documentation
• Work as part of an interdisciplinary team to support billing processes
• Provide excellent customer service in all interactions

Requirements

• Required Qualifications
• High school diploma or GED
• Minimum 1 year of healthcare billing experience
• Reliable transportation with valid automobile insurance
• Associate's degree
• Homecare Homebase experience (strongly preferred)
• Previous billing experience in home care or hospice care systems
• Knowledge of Medicare and Medicaid billing regulations
• Essential Skills
• Strong understanding of healthcare billing and reimbursement
• Excellent organizational abilities and attention to detail
• Superior verbal and written communication skills
• Ability to work collaboratively as part of an interdisciplinary team
• Proficiency with billing software and electronic claims submission
• Self-motivated with ability to work independently
• Problem-solving skills and analytical thinking
• Discretion and commitment to patient confidentiality
• Ability to adapt to changing payor requirements
• What Makes You Successful

Benefits

Additional Information

Optimal Care is where your dedication meets a rewarding career. As a clinician owned and operated company, we create the opportunity and environment for each employee to realize their highest potential while maintaining a personalized focus on our Patients and Families every day. We are the Midwest's premier provider of Physician Services, Home Health, and Hospice Care. Our integrated care delivery model incorporates technology, innovation and best practices. We produce value based outcomes by managing chronic disease process, rehabilitation and end of life care. We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care. What does this mean for you? At Optimal Care, you have our resolute commitment to being an exceptional place to work. Your expertise, passion and commitment to exceptional quality care will continue to thrive. With you we can build a remarkable place to work. Exceptional Benefits: Minimum of 3 Weeks Paid Time Off (PTO) Company Vehicle Program for field roles Medical, Dental, and Vision Insurance HSA and FSA options including Dependent Care Company paid Short Term Disability Company paid Life Insurance 401(k) with Employer Match Mileage Reimbursement Pet Insurance ID and Fraud Protection And more...

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