Reimbursement Specialist - Fully Remote

By The Bay Health, a non-profit formerly known as Hospice by the Bay, set the standard for hospice in the U.S. by emphasizing the role of the patient in making important medical decisions. Our spectrum of home-based services now includes Skilled Home Health Care, Palliative Care, Adult Hospice Care and Pediatric Care. Our team approach strives to address practical, social, emotional and spiritual aspects of care, with the goal to maximize quality of life for our patients, caregivers and families.
This position offers competitive pay, generous benefits, and a supportive work environment!
We are seeking a full-timeReimbursement Specialist to be the main liaison for Medicare, Medi-Cal and Private Insurance billing and to assist with all requests for information in order for BTBH to receive payment.
Essential Duties & Responsibilities Include:

• Gather, verify, and document all patient information in preparation for admission, including eligibility and benefits, insurance ID numbers, patient address and phone number, insurance company address and phone number.
• Prepare all invoices and perform collections for Medicare, Medi-Cal and private insurance billing.
• Verify all information that is entered into Epic for accuracy including pay source, physician information, location information, Room and Board rates. Make corrections as needed in a timely manner.
• Perform all eligibility checks, billing & collections for Medicare patients utilizing the Medicare HIQA and DDE systems.

Education/Experience:

• Bachelor's degree (B. A.) in Accounting or related field from a four-year college or university or equivalent combination of education and experience.
• Minimum of three years accounting experience. Healthcare or not-for-profit experience desirable.

Certificates, Licenses, Registrations:By the Bay Health is proud to serve our community as an equal employment opportunity employer. Everyone is valued and welcome at BTBH. Our organization is committed to diversity, equity and continues to build a culture of inclusion by recruiting, screening, hiring and retaining any qualified individual without regard to age, race, color, ethnicity, religion, gender, gender identity or expression, sexual orientation, disability, marital status, registered domestic partner status, citizenship, physical or mental disability, legally protected medical condition, family care status, military care status, veteran status or any other consideration made unlawful by Federal, state, or local laws.