Medicare/Medicaid Insurance Lead

Responsible for assisting the Revenue Cycle staff with all billing and collection functions as assigned. This will include assuming the lead role of the staff and the performance of those duties associated with the hands on billing and collection of accounts receivable. Assists the Revenue Cycle Management team with the planning, implementing, reporting, and reviewing all activities required for an efficient and effective receivable management system.

• Rotate through the Billing and Collections areas to develop an understanding of accounts receivable and how each area functions. This includes performing direct hands on billing and collection functions.
• Learn all aspects of Medicare billing.

o Be able to perform those duties necessary to train both corporate Billing and Collections staff and the Hospice Staff.

• Work with the various Insurance billing and collection staff to understand the various requirements for the multiple insurance carriers.
• Understand the electronic billing process and become capable of assisting the staff in this area as needed.
• Work with the credit balance report and be able to identify billing/posting errors and make any necessary corrections.
• Assist in the monthly reconciliation process of the programs receivables, revenue, days of care, and monthly financial reporting.
• Assist the hospice staff with census and/or billing corrections. Serve as a primary resource person to answer question concerning billing and collection issues.
• Provide training for the Corporate and Hospice Staff in all areas of Billing and Collections and system utilization as needed.
• Assist with the completion of special Revenue Cycle projects as needed.

The following requirements are for Lead Medicaid position:

• Work with the various Medicaid billing and collections staff to understand the various requirements for each State Medicaid program.
• Assist with the completion of special Revenue Cycle projects as needed (i.e. collection of Illinois Medicaid receivable).

The following requirements are for both Lead positions:

• Determines work procedures, prepares work schedules, and expedites workflow
• Issues written and oral instructions to employees.
• Studies and standardizes procedures to improve efficiency of subordinates
• Attends meetings, training activities, courses and all other work-related activities as required

Performs related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Experience:

• Three to five years prior Revenue Cycle experience preferably in a lead role (Medicare experience required for Lead Medicare role, Medicaid experience required for Lead Medicaid role).
• Excellent communication and analytical skills
• Ability to work on various assignments simultaneously.
• Ability to communicate tactfully, verbally and in writing with department heads, managers, coworkers and vendors to resolve problems and negotiate resolutions.
• Working knowledge of computers, internet access, and the ability to navigate within an automated purchasing system as well as variety software packages such as Outlook, Excel and Word. Knowledge of automated accounting systems preferred.

Education:

Associates or Bachelor's degree in accounting, business administration or related field from an accredited college or university or the international equivalent preferred.

Certification & Licensure:

None required for this position.

Physical Requirements:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.

VITAS Healthcare is the nation's leading provider of end-of-life care, and has the resources and expertise to support your personal and professional growth. As a member of the VITAS team, you'll find fulfillment working for a people-focused organization dedicated to making a difference in the lives of others. You will be more than just an employee: You will be counted on as an expert in your field, and as a valued team member whose efforts are respected and vital to our hospice mission.

All VITAS employees commit to fulfilling their duties and responsibilities with the highest regard for professionalism, collaboration and teamwork, and an eye focused constantly on growth and improvement. We serve with commitment and compassion, and position ourselves for the future by embracing, innovating, and leading change. If you are that person, make your voice heard-find your purpose at VITAS today.

Benefits Include:

• Competitive compensation
• Health, dental, vision, life and disability insurance
• Pre-tax healthcare and dependent care flexible spending accounts
• Life insurance
• 401(k) plan with numerous investment options and generous company match
• Cancer and/or critical illness benefit
• Tuition Reimbursement
• Paid Time Off
• Employee Assistance Program
• Legal Insurance
• Roadside Assistance
• Affinity Program

Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends.

Choose a Career with VITAS