Overview
Responsible for collecting and managing account payments. Responsible for submitting claims and following up with insurance companies for payment fulfillment. The reimbursement coordinator II non-Medicare is responsible for completing assigned projects and providing training as requested.
This position is eligible for 100% remote but the employee must reside in a state where Enhabit currently operates. AK, AL, AR, AZ, CO, CT, FL, GA, ID, IL, IN, KS, KY, LA, MA, MD, MO, MS, MT, NC, NM, NV, OH, OK, OR, PA, RI, SC, TN, TX, UT, VA, WA, WY.
Responsibilities
Complete billing tasks daily; ensure minimal write off of reimbursement dollars.
Monitor and maintain assigned accounts with a higher productivity expectation.
Collect all the necessary information to prepare insurance claims.
Submit clean claims timely and appropriately to various insurance companies; complete submissions electronically or by paper according to payor guidelines.
Research, correct, and resubmit rejected and denied claims.
Prepares appeals to denied claims.
Maintain communications with branch staff for assigned accounts; contact the various positions that are holding the issues.
Maintain communications with branch leadership for assigned accounts; ensure branch leaders are aware of claims status and the success of team members.
Answer questions timely and accurately; from patients, branch staff, and insurance companies.
Assist with training of new team members.
Provide assistance with escalated questions from other team members.
Address and respond to emails that come into the teams inbox.
Assist with special projects as assigned.
Qualifications
Must have a high school diploma or equivalent
Must have two years demonstrated experience with Medicare or related billing functions
Must have demonstrated experience in planning and presenting trainings, individual or large group settings. Must have demonstrated experience in project management
For internal applicants, must have met the aging and cash collections goal, as set by the director, for at least nine months in each of the previous two consecutive years. Must have consistently maintained an average of 9%-16% of the billing and collections.
Required to have and maintain a valid state driver license in the current state of residence
Required to have and maintain automobile liability insurance, as required by law
Experience within Home Health & Hospice billing and collections is highly preferred
Oral communication, written communication, fluency in English, active listening
Demontrated intermediate technology skills. Especially Microsoft office, including word and excel.
Other than for designated full-time remote positions, in-office attendance is essential in order to achieve Enhabit objectives, including but not limited to, effective supervision, teamwork, task completion, and other position objectives.
Enhabit does not waive this essential function by permitting duties to be performed remotely on occasion to accommodate temporary personal needs, such as appointments, or to operate in crises beyond its control, such as during a natural disaster or pandemic.
Additional Information
At Enhabit, we firmly believe our people are our greatest asset! Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Some benefits, tools and resources include:
Comprehensive insurance plans - medical, dental, and vision
Generous paid time off – Up to 30 paid days off per year
401k retirement savings plan with match
Basic life insurance at no cost to eligible employees
Employee scholarship program
Promote-from-within philosophy
Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.