Submit claims to the appropriate payer for reimbursement when required.
Documentation and Compliance
Ensure detailed, accurate, and compliant account notes are entered into the billing system for all billing activities.
Maintain complete audit trails within billing systems to support claim processing and reimbursement validation.
Ensure required documentation is properly attached and maintained for compliance and audit readiness.
Review documentation for completeness and accuracy prior to claim submission.
Support internal and external audits by providing requested documentation and claim history records.
Adhere to all CMS, HIPAA, Medicare, and organizational compliance requirements.
Revenue Cycle Support
Collaborate with billing leadership, external and internal departments to improve operational efficiency and reimbursement outcomes.
Maintain productivity, quality, and compliance standards established by management.
Additional Responsibilities
Foster a collaborative team environment by supporting coworkers, sharing best practices, and contributing to department goals and success.
Perform other related duties, projects, and responsibilities as assigned by management.
This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. Responsibilities may be added, modified, or reassigned based on business needs and organizational requirements.
Qualifications
Education
High School Diploma or GED required.
Experience
Knowledge of excel preferred.
Experience working with skilled nursing facilities and hospice providers preferred.
Medicare billing experience is a plus but not required.
Knowledge, Skills, and Abilities
Basic computer skill required.
Understanding of time zone differences.
Billing knowledge is a plus.
Attention to detail is required.
Ability to follow compliance guidelines.
Excellent customer service and interpersonal skills.
Ability to communicate professionally and effectively with external customers and internal customers.
Strong written and verbal communication skills.
Must be a team player with the ability to collaborate effectively across departments, support team initiatives, share knowledge, and contribute to a positive work environment.
Demonstrated ability to build and maintain productive working relationships with coworkers, leadership, Sales Teams, and business partners.
Proficiency in billing systems, Microsoft Excel, Outlook, and other business applications.
Ability to prioritize workload and meet deadlines in a fast-paced environment.
Numbers & Facts
Location
Carrollton, TX
Skills
Best Practicesunmatched
Billingunmatched
Business Solutionsunmatched
Centers for Medicare and Medicaid Services (CMS)unmatched
Claims Processingunmatched
Communication Skillsunmatched
Computer Skillsunmatched
Customer Support/Serviceunmatched
Detail Orientedunmatched
Documentationunmatched
Establish Prioritiesunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
Hospice Careunmatched
Interpersonal Skillsunmatched
Laboratory Analysisunmatched
Leadershipunmatched
Maintain Complianceunmatched
Medicareunmatched
Microsoft Excelunmatched
Microsoft Outlookunmatched
Nursingunmatched
Operational Improvementunmatched
Operational Strategyunmatched
Presentation/Verbal Skillsunmatched
Quality Managementunmatched
Regulatory Complianceunmatched
Reimbursementunmatched
Salesunmatched
Team Playerunmatched
Time Managementunmatched
Writing Skillsunmatched
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