Diversity/Individuality:† Respect the differences of people
and the individual who brings particular viewpoint to enhance that of the greater
Expertise:† By virtue of credential, training,
education, profession, publication or experience, believed to have special
knowledge of a subject beyond that of the average person, sufficient that
others may rely upon the individual's opinion.
Accountability:† Acknowledgment and assumption of
actions and decisions with the obligation to report, explain and be
answerable for resulting consequences.
Optimism:† Expects the best possible outcome
from any given situation; a yes attitude.
Compassion/Respect:† Virtue of empathy for the suffering
of others and active desire to alleviate another's suffering by giving a
positive feeling of esteem within actions and conduct.
Responsibility:† Having an obligation to or being
accountable for the finances, spending no more than we earn and investing
in the development of the business.
Summary of Functions:
abreast of changes in Medicare, Medicaid and all contracted third party
payor billing practices and requirements.† Recommends changes to Agency
procedures to assure conformance with insurance requirements resulting in
timely agency reimbursement for service rendered.
the billing process by assembling information on all unbilled
services.† Reviews bills for accuracy
and completeness, and assures all appropriate data has been secured to
meet requirements of the insurer and to assure timely payment.
errors and omissions on claims.† Prepares corrections as required
and informs appropriate agency staff of corrections they need to
make.† Maintains a current report on
unbilled charges along with appropriate unbilled reasons.†† Releases bills and/or
manually completes billing forms as required by agency designated time
outstanding bills by monitoring unbilled and aging reports to achieve
agency accounts receivable goals and takes appropriate action.† Processes
Follows through to re-bill for unpaid services or resolve billing
issues by securing appropriate information or documentation.
supervisor of unresolved problems and common issues impacting payment of
claims.† Documents and records
process issues that adversely influence timely payment.
management with orienting new or temporary staff by explaining policies
and operating procedures and by providing instruction on specialized
back up and other duties as assigned.
Minimum Education and
school graduate or equivalent required
Degree in Healthcare Finance or Related Field preferred
Certification from an accredited body or two years related Homecare,
Hospice or Professional billing experience required
skills and ability to speak and write English to communicate effectively
with public and staff
familiarity with specific databases, competencies in Windows applications
and data entry
of medical terminology
solving ability sufficient to resolve problems where information is
incomplete or inconsistent
to sit and/or operate before a computer for extended periods of time.
customer service and telephone communication skills
of processes to permit acquiring of necessary information to complete
to alert management of issues/unresolved tasks related to the success of
and attendance meeting or exceeding organizational norms
demeanor in the performance of conventional responsibilities
in delivery of results
in completion of assignments
to follow through and assure correctness/corroboration of information
to be a team player, sharing in the delivery of other team memberís
responsibilities to produce departmental improving results
All (bold) functions above
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