Administrative Services Manager

The Administrative services Manager reports to the Administrator and possesses knowledge, training and experience in insurance and billing, training and experience in the Intake, Scheduling, and Coordination of Care Process.

QUALIFICATIONS:

1. High school graduate or equivalent (GED).

2. Preferably one year's experience in healthcare billing.

KNOWLEDGE AND ABILITY:

1. Knowledge of Hospice philosophy and end of life care.

2. Knowledge of Medicare, Medicaid, and third-party reimbursement requirements.

2. Ability to provide knowledge and skills to billing and the computer.

3. Knowledge of Hospice policies and procedures.

4. Ability to exercise independent judgment.

5. Ability to work with individuals.

6. Ability to deal effectively with high levels of stress.

JOB DUTIES:

1. Verifies that all required patient information is present prior to starting care.

2. Utilizes appropriate clinical forms for entering data related to visit scheduling.

3. Knowledge of hospice billing procedures.

4. Promptly follows up with ordering equipment, communicating new Admissions to the Pharmacy, and Coordinating IDG members with regards to patient care concerns.

5. Submits required documentation for billing purposes in the established time frame. Verifies that all required patient information is present prior to preparing claims.

6. Utilizes appropriate forms for billing submission.

7. Submits timely billing of all patient accounts including Medicare, Medicaid, third party payors and patient co-pays.

8. Knowledgeable of intermediary billing policies and requirements.

9. Promptly follows up with each denial claim.

10. Submits required documentation for each denied claim within established time frame.

11. Assists in implementation of policies and procedures.

12. Displays a willingness to support policies and procedures and uses appropriate channels for changes of such policies.

13. Serves as a role model for all colleagues by setting an example of high standards in dress, conduct, cooperation, and job performance.

14. Observes confidentiality and safeguards all patient related information.

15. Accepts responsibility for regular attendance and punctuality.

16. Serves as a resource person to all employees.

17. Responsible for answering telephone and forwarding calls to appropriate personnel.

18. File documentation/paperwork in appropriate chart.