UnityPoint Health

  • Billing Account Specialist Lead

    Requisition ID
    2018-54479
    Category
    Billing and Coding
    Location
    US-IA-Urbandale
    Address
    11333 Aurora Ave
    Affiliate
    9400 UnityPoint at Home Affiliate
    City
    Urbandale
    Department
    CBO- Admin
    State
    IA
    FTE
    1.0
    FLSA
    Non-Exempt
    Scheduled Hours/Shift
    Monday- Friday, 8a-5p
    Work Type (Portal Searching)
    Full Time Benefits
  • Overview

    Billing Account Specialist Lead

    Unity Point at Home

    Monday- Friday, 8a-5p

    Full-Time Benefits, 40 Hours/ Week

    Responsibilities

    * Oversee daily operations within the Central Billing (CBO) in absence of the Billing Reimbursement Manager.

    * Answer questions and resolve problems related to billing operations as billing expert.

    * Monitor A/R reports and provide support to maintain goals related to DSO.

    * Maintain daily reconciliation/balance documents per protocol.

    * Performs complex billing functions such as cleanup of a large account with multiple months of billing, multiple payer issues. Work with insurance companies on difficult cases such as multiple patients not paid correctly and/or coding issues.

    * Recognize and report to Billing Manager any possible system problems or issues that would result in the interruption of workflow, reimbursement or other disruptions.

    * Assist Billing Manager with the development and implementation of new or revised policies and procedures.

    * Orient and train new staff.

    * Lead payer team meetings along with Billing Manager.

    * Provide communication and teaching to Billing/Account Specialists and Billing Records Technicians.

    * Facilitate changes to improve processes as needed

    * Attend seminars/meetings and present material back to the CBO.

    * Prepare documents for secondary claim filing.

    * Identify potential discrepancies in claims payment processing.

    * Handle inquiries regarding claims/reports.

    * Work to resolve carrier denials for proper payment of claims.

    * Share responsibility through timely communication of identified problems to assure proper follow up is completed to expedite claims and ensure proper payment.

    * Work accounts receivable aging reports performing follow up in accordance with policies and procedures.

    * Obtain, verify and maintain customer demographics and insurance information for billing purposes (i.e. admission, financial/cost, CMN, etc.).

    * Make payment arrangements with clients, monitor compliance and take collection measures when necessary.

    * Generate and process statements and claim forms in an accurate as well as timely manner.

    * Maintain current knowledge of carrier specific requirements by attending workshops, reading newsletters, and acting as a liaison in carrier meetings.

    * Clear documentation of all communication related to accounts.

    * Demonstrate a professional image in dealing with the public, patients, families and vendors.

    * Review credit balance accounts on a monthly basis.

    * Meets measures as determined and required for job productivity and performance improvement.

    * Maintain regular and consistent attendance at work.

    * Behave in a manner consistent with Mission, Vision, Values and Expectations for Excellence.

    * Maintain compliance with OSHA, Accreditation Standards and Risk Management guidelines.

    * Maintain compliance with Personnel policies and procedures

    * Behave in a manner consistent with all Corporate Compliance policies and procedures.

    * Perform other duties as requested by Billing Reimbursement Manager to facilitate the smooth and effective operations of the organization.

    * Employee is responsible for completion of communication tasks and activities in a timely manner. This would include, but is not limited to: responding to email, voicemail or telephony messages, promptly, accurately, and professionally; attending staff meetings as scheduled or viewing videotapes of those meetings; asking questions

    of team members and supervisors when needing clarification about various day-to-day issues or patient needs; and reviewing employee communication pieces, to stay aware of UnityPoint at Home programs and initiatives.

    * Strong understanding of payer software to check eligibility, claim status, other claim information and perform adjustments and/or assist in clarification for staff.

    * Work with members of management team to determine and resolve issues impacting collectability of particular accounts.

    * Responsible for the collection of out-of-pocket payments at the time of service per established protocol.

    * Performs monthly cash reconciliation

    * Processes and tracks refund requests in a timely manner.

    Qualifications

    QUALIFICATIONS REQUIRED

    * High School or Vocational School graduate.

    * Strong interpersonal skills.

    * Ability to work independently or as part of a team.

    * Ability to understand and apply guidelines, policies and procedures.

    * Previous homecare office experience.

     

    QUALIFICATIONS PREFERRED

    * Proficient in Microsoft office software.

    * Familiar with billing codes i.e., HCPCS, Revenue, CPT Coding, Diagnosis Coding, etc.

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