Overview
The Hospice Payables Coordinator is responsible for processing all outside patient related invoices to include verification of invoice data, transmission of the appropriate approval to accounts payable for check processing, and the accurate processing of any denials. This position ensures proper payment of hospice related services at the contracted or Medicare allowable rates. Also responsible for communicating any denials, and will provide appropriate education to the vendor.
Location: One Chase Corporate Drive – Suite 210C Hoover, AL 35244
Hours: Monday - Friday 8am - 5 pm
Responsibilities
- Monitor all systems for invoices and properly mark as received; email, fax, and postal mail.
- Verify data is appropriately listed on all invoices; patient name, dates of services, diagnosis, and contracted rates or Medicare rates.
- Evaluate data to determine appropriate payment status; communicate follow up, as needed.
- Research Homecare Homebase referral documents, clinical notes, physician orders, and coordination notes to make an informed decision on each invoice status.
- Determine if invoice is related to hospice; if unclear, consult resources and branch leadership, include clinical staff such as medical director or nurse practitioner as necessary.
- Communicate improper invoices to hospice billing leadership.
- Process each invoice within 10 calendar days of receipt; report and document outliers to hospice billing leadership, as necessary. Ensure invoices over 10 calendar days of receipt of kept on top of desk in appropriate file.
- Process and properly document each assigned inquiry; utilize back up documentation, Worldview, and other resources as needed.
- Answer questions from branch office staff, patients, caregivers, and payor source representatives; use excellent customer service skills.
- Complete follow up calls, as directed; maintain a high level of professionalism.
- Identify issues related to processing delays or improper payments; immediately discuss with hospice billing and branch leadership, as needed.
- Maintain positive relationships with vendors, payors, referral sources, and branch leadership; maintain excellent communication, education, and follow up.
- Answer central phone line at least twice daily.Demonstrate qualifications and competencies consistently and reliably.
- Complete all other duties as assigned.
Qualifications
- High school diploma or equivalent. Must have demonstrated use of a 10-key and be able to type 60 words per minute. Must have demonstrated experience with medical terminology and data entry.
- An associate degree in accounting, business, or related field is preferred. A certification in billing or medical terminology is preferred.
- Two years experience in Medicare or other insurance billing, coding, and related billing tasks is preferred.
- Required to have and maintain a valid state driver license in the current state of residence
- Required to have and maintain automobile liability insurance, as required by law
- Oral communication, written communication, fluency in English, active listening.
- Demontrated intermediate technology skills. Especially Microsoft office, including word and excel.
- Other than for designated full-time remote positions, in-office attendance is essential in order to achieve Enhabit objectives, including but not limited to, effective supervision, teamwork, task completion, and other position objectives.* Enhabit does not waive this essential function by permitting duties to be performed remotely on occasion to accommodatetemporary personal needs, such as appointments, or to operate in crises beyond its control, such as during a natural disasteror pandemic.
Additional Information
At Enhabit, we firmly believe our people are our greatest asset! Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Some benefits, tools and resources include:
- Comprehensive insurance plans - medical, dental, and vision
- Generous paid time off – Up to 30 paid days off per year
- 401k retirement savings plan with match
- Basic life insurance at no cost to eligible employees
- Employee scholarship program
- Promote-from-within philosophy
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary
