Patient Account Representative, Hospice Outpatient- PD/Days

Job Responsibilities

• Ability to submit Medicare, Commercial, and private pay claims in a timely fashion
• Demonstrates ability to precisely review and calculate all Medi-Cal, Medicare, Cal-optima and managed care payments to ensure accurate reimbursement
• Demonstrates ability to research and/or follow up on insurance refunds to ensure accurate account balances
• Monitors, Pays, Updates all Invoices from different vendors. Document appropriately in the Hospice/Health system all correspondences and other transactions in interacting with Accounts Payable and Vendors
• Ability to complete end-of the month closing and statistical reports
• Demonstrates ability to monitor and analyze Accounts Receivable (A/R) to ensure minimal number of days in A/R
• Ability to verify insurance coverage for all payer types for patient admissions. Makes written and or verbal inquires to third party payer to verify insurance benefits, eligibility and insurance status
• Obtains and tracks all authorizations for home health and hospice patients
• Ability to be at work and be on time
• Ability to follow company policies, procedures and directives
• Ability to interact in a positive and constructive manner
• Ability to prioritize and multitask