UnityPoint Health

Biller Department

Requisition ID
2022-105933
Category
Billing and Coding
Location
US-IL-Peoria
Address
120 NE Glen Oak
Affiliate
5020 UnityPoint Health Methodist Medical Center
City
Peoria
Department
Admin- HC- MMCI
State
IL
FTE
1.0
FLSA
Non-Exempt
Scheduled Hours/Shift
Monday-Friday --- 8:00am-4:30pm
Work Type (Portal Searching)
Full Time Benefits

Overview

Biller Department - Home Care

MMIC

Full time; Benefitted

Monday-Friday --- 8:00am-4:30pm

 

 

Why UnityPoint Health?

  • Culture – At UnityPoint Health, you Come for a fulfilling career and experience aculture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
  • Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
  • Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
  • Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
  • Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.

 

Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work.

https://dayinthelife.unitypoint.org/

 

This position provides comprehensive management of billing process/client accounts for services rendered. 

Responsibilities

Processes Medicare/Medicaid Notice of Election (NOE, physician certification, and discharge forms per CMS regulations. 

  • Receives patient/legal representative sign Medicare/Medicaid Notice of Election (NOE) from staff performing initial assessment and enters into Ability Ease system within 3 working days of admission. 

  • Follows up on any NOEs not received timely. 

  • Follows up on NOEs not accepted by Medicare, fixes errors, and resubmits. 

  • Submits NOE information to Illinois Department of Public Aid via forms/on-line as required. 

  • Determines which payment period the patient is in and notifies Hospice Leadership and Medical Director. 

  • Tracks attending physician and Medical Director certifications to ensure both are received timely so billing process can begin. 

  • Receives patient discharge information and processes notification to CMS that patient has been discharged within 1 day of discharge. 

 

Generates charges for services in the hospice billing software on a timely basis.score: N/A 

  • Generates recurring charges for Medicare patients monthly. 

  • Generates recurring charges for insurance patients monthly. 

  • Generates room and board charges for IDPH patients in skilled nursing facilities as bills from those facilities are received. 

 

Generates accurate, clean claims in a timely manner.score: N/A 

  • Generates electronic claims to Medicare every 15 days. 

  • Ensures Medicare bills are filed in sequential order as required by Medicare – ensuring efficient billing cycle. 

  • Generates paper claims for Illinois Department of Public Aide and private insurance companies every 15 days. 

 

Posts payments and completes follow-up on unpaid or over-paid claims.score: N/A 

  • Ensures cash posting occurs at time of receipt. For each posting, cash received is reconciled to payment posting report generated by the billing software. 

  • Ensures cash received is reconciled monthly with Finance Department 

  • Identifies why claims may be rejected, resolving and correcting the claim for resubmission. 

  • Investigates open accounts to define steps for payment/close. 

  • Documents and performs necessary adjustment billings. 

  • Completes monthly review of individual accounts outstanding beyond target is completed with manager. 

  • Ensures documentation of account follow-up is retrievable. 

  • Ensures quarterly overpayment reports are completed and filed promptly with CMS and Illinois Department of Public Aid. 

  • Promptly and courteously assists patients/families with billing questions. 

 

Basic UPH Performance Criteria           

  • Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines. 

  • Demonstrates ability to meet business needs of department with regular, reliable attendance. 

  • Employee maintains current licenses and/or certifications required for the position. 

  • Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare. 

  • Completes all annual education and competency requirements within the calendar year. 

  • Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.  Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.  Takes appropriate action on concerns reported by department staff related to compliance. 

 

Qualifications

Education:  

High School graduate or GED equivalent preferred. 

Associates Degree in Business preferred. 

Experience: 

Previous clerical experience required. 

License(s)/Certifications: 

1-3 years of experience in/with managing healthcare accounts and/or working with Medicare, Medicaid and commercial insurance is preferred. 

General knowledge of accounting is preferred. 

Previous office, home health, or hospice background is preferred.  

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