Medical Billing Specialist

Job Description

Medical Billing Specialist | VITAS Healthcare

The Tone:
This is a full-time, hybrid role at VITAS Healthcare, located in Miramar, FL. VITAS Healthcare provides essential hospice care, and this role is crucial for ensuring the complete and accurate billing and collection of all hospice claims submitted for payment. This position directly supports the organization’s financial stability by managing the complex billing cycle and resolving payment issues with various third-party payers.

The TL;DR
• Role: Full Time
• Type: Hybrid
• Location: Hybrid, Miramar, FL

• Mission: To ensure the complete and accurate billing and collection of all hospice claims from third-party payers, managing the full revenue cycle from submission to resolution.
• Tech Stack: Outlook, Word, Excel, automated systems

What You’ll Actually Do
• Claim Submission: Ensure complete and accurate billing of all hospice claims, submitting them timely to third-party payers via paper or electronic claim formats.
• Claim Resolution: Research, correct, and re-submit rejected and denied claims, performing all follow-up duties including adjustments and corrected claim submissions.
• Account Monitoring: Monitor insurance claims by running appropriate reports, contacting insurance companies to resolve overdue claims, and managing clearinghouse and payer accept/reject reports.
• Issue Identification: Identify and resolve billing issues, including frequency and required forms, escalating problem accounts and logging repetitive errors for management.
• Payer Expertise: Serve as a subject-matter expert for billing specifications and requirements of assigned payers and states, including Hospice Notice of Election (NOE) timing.

The Must-Haves
• Background: Completion of high school or basic education equivalency, with a full understanding of healthcare collections, reimbursement processes, and the insurance industry, including Medicare, Medicaid, and other third-party payer billing guidelines.
• Experience: Three to four years of prior experience in a general office environment.
• Skills: Ability to manage various assignments simultaneously, strong interpersonal skills, and proficiency in automated systems, Outlook, Word, and Excel.
• Bonus: Prior accounting or billing experience specifically within a healthcare environment.