Remote Medical Insurance Follow-Up Representative- Hospice

 

At RSi, we've proudly served healthcare providers for over 20 years, earning recognition as a "Best in KLAS" revenue cycle management firm and a USA Today Top 100 Workplace. Our reputation is built on delivering exceptional financial results for healthcare providers—and an unbeatable work culture for our team. 

We seek high-performing individuals willing to join our sharp, committed, and enthusiastic team. Here, your performance is valued, your growth is prioritized, and your contributions make a meaningful impact every day. 

 

 

 

• Follow-Up with hospice Insurance Carriers to determine reason for claims denial and work to resolve claim for payment.
• Resolve hospice insurance denials and file appeals with government and commercial carriers.
• Report unusual accounts, account problems and workflow issues promptly to manager.   Process hospice claims, payments, adjustments, denials, and unpaid insurance balances.
• Stay up to date on hospice contract, regulation, procedure, and other changes affecting the department.
• Analyze the unpaid hospice claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely.
• Serve as a liaison with insurance companies, third party payors, and administrative personnel   Provide accurate account maintenance and documentation.
• Use and demonstrate understanding of applicable computer systems, including system reports and security procedures.
• Work effectively with other staff members to accomplish work and departmental goals.
• Perform various collection actions including possibly contacting patients by phone, updating insurance information, and follow through on insurance processes.
• Adhere to applicable hospice policies, core services/room and board billing regulations, departmental practices, and 3rd party hospice requirements.
• Operate within the guidelines of the Health Insurance Portability and Accountability Act (HIPAA) and any other applicable Federal or state laws and company policies.
• Demonstrate positive and professional communication skills.   
• Perform other work duties as assigned.

• High School Diploma required, AA+ preferred.
• 3-5 years of insurance follow-up and or billing experience in a hospice related setting is required.
• Experience with filing UB-04 and HCFA 1500 claim form for Hospice services required.
• Experience in utilizing add on software such as: Change Healthcare, US Bank, SSI, IDX/Centricity, Epic, FastTrack, Meditech, Cerner, and various other systems.
• Thorough understanding of hospice billing requirements, CPT, DRG, HCPC, Procedure and Revenue codes, modifiers, hospice bill types and their effect on reimbursement
•  Results-Oriented 
• Strong written and verbal communication skills
• Ability to handle and maintain confidential information
• Ability to manage multiple projects effectively.
• Ability to collaborate effectively with team to ensure project deadlines are met.

• Competitive pay with ample opportunities for professional growth. 
• Fully remote position with a stable Monday–Friday schedule. 
• Collaborative, performance-driven environment with expert leadership. 
• Mission-driven work supporting essential healthcare services. 
• Recognition as a nationally respected leader in healthcare revenue management. 

• Comfortable working at a computer for extended periods. 
• Ability to occasionally lift items weighing up to 15 pounds.