Capstone Hospice is in search of a full-time healthcare accountant that is responsible for managing patient billing and account collections.  

Key duties include reviewing patient information, submitting claims using correct medical codes, following up on unpaid or denied claims and communicating with patients about their hospice bill.  This role is crucial for the financial health of the organization. 

This is a full-time, salaried exempt position working Monday - Friday, 8am-5pm in the office located in Peachtree Corners.  This position will report directly to the Director of Finance. 

This position will require someone that has core AP/AR skills to include healthcare billing, invoicing, resolving discrepancies. posting payments, managing outstanding balances and collections follow up with patients and payors. 

Candidate must meet the following requirements to be considered for the position: 

• Associates degree (Business, Healthcare Administration or Finance) 
• 1-3 years in a healthcare accounting or billing position. 
• Healthcare specific experience in hospice is a plus
• Knowledge of Medicare / Medicaid regulations
• Proven experience in revenue cycle management to include accounts payable & receivables. 
• Advanced excel skills. 

To be successful in this role the candidate should possess the following traits: 

• Attention to detail.
• Ability to manage multiple tasks to include using multiple computer applications at one time. 
• Ability to work in a collaborative team environment providing high quality and productive work. 
• Ability to prioritize tasks.
• Ability to work independently and problem solve. 

Essential functions of the role: 

Claims Submission 

• Responsible for contacting payors to verify benefits upon admission and prior to hospice recertification. 
• Prepare, view and transmit timely claims electronically and paper when required. 
• Contact patient/family to discuss the patient's eligibility and responsibility related to co-insurance, deductible, private pay, etc. 

Claims Follow Up 

• Follow up on unpaid claims
• Review and discuss contract payment based on payor contract
• Review accounts for insurance or patient follow-up
• Research and appeal denied claims. 
• Key contact for all billing questions or inquiries from payors or the patient. 

Insurance Verification

• Reviewing all insurance payments for accuracy. 
• Ensure compliance with all insurance requirements, recertifications, etc. 
• Responsible for timely processing of Medicaid lock ins

Record Keeping

• Maintain complete and accurate financial records. 
• Proper documentation of adjustments, refunds and collection activity notes. 
• Communication and collaborate with clinical team to ensure proper facility billing. 
• Tracking of payment activity (checks, ACH, EFT)
• Clear audit trail to support financial audits
• Follow and protect data as defined by HIPAA guidelines. 

Administrative

• Assist with weekly billing call to review key issues affecting timely payments and follow up on aging accounts. 
• Assist with month end close and ensure timely billing. 

Physical Requirements: 

This position requires close work, finger dexterity, adequate hearing and vision (with or without adaptive devices or correction).  Lifting no more than 25 pounds, sitting 4-8 hours a day at a desk in an office setting. 

Risk Exposure to bloodborne pathogens: Low Risk 

This position is a full-time salaried exempt position, eligibility for full-time benefits to include: 

• Medical
• Free telehealth visits / $25 copay for mental health visits
• Dental 
• Vision
• Disability insurance
• 401(k) Retirement Plan to include company match
• Monthly cell phone allowance 
• Monthly self-care reimbursement