Detail-oriented and methodical Billing and Patient Accounts Coordinator offering 20+ years of experience in related roles. Exceptional abilities in conducting research, problem-solving, and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills, and superior work ethic for top job performance.
Performs month-end billing cycle processes
► Performs month-end billing audit processes to ensure the accuracy of patient billing
► Ensures Medicare and Medicaid certifications are complete before claims are released for
payment
► Processes billing, payment, contractual, and bad debt adjustments
► Performs the electronic claims submission process for all payor sources
► Monitors claims on the Medicare on-line System and collaborates with the Patient Accounts
Coordinator to ensure submitted forms and claims are accurate and processed timely
► Processes Traveling Patient Contracts for patients traveling outside the agency's service
area
► Assists Reimbursement team Leader with monthly aging reports for problem accounts and
assists in the collection process
► Maintains the Revenue Cycle Key Performance Indicators targets as established by the
CFO
► In collaboration with the Reimbursement Team Leader, maintains accurate payor source
information and billing rates in Suncoast Solutions software
► Completes required payor sources' annual and quarterly reports
► Generates statistical reports as required
► Identifies new hospice care admissions for assigned teams
► Ensures patients' primary and all other medical insurance, have been verified and documented
► Set up and maintain patients' primary, secondary, and other identified coverage
► Investigates and verifies patients' medical insurance benefits when benefits change
► Coordinates the Financial Assessment and Payment Agreement process for patients that are
uninsured
► Verifies Medicare Notice of Election of Hospice Benefits and Notice of Terminations/Revocations
and Medicaid Enrollments per established procedures
► Performs pre-billing audit functions per established procedures
► Coordinates the Residential Room and Board process with Social Workers at the Inpatient Units and
processes room and board Payment Agreements, charges, payments, and refunds
► Follow up on patient accounts per established procedures
► Documents all follow-up on patient accounts for billing
► Prepares Billing Adjustment and Payment Adjustment forms
► Maintains the Revenue Cycle Key Performance Indicators targets as established by the CFO.