ResponsibilitiesEnter and review patient demographic information. Communicate with facility and family representatives to obtain demographic information and validate appropriate billing charges. Complete assigned daily billing tasks. Review and process Medicaid pending claims. Perform daily and comprehensive census reconciliations to ensure data accuracy. Conduct hospice reconciliations to maintain accurate records. Process third-party insurance claims. Complete rebills and credits as needed. Generate month-end and interim reports. Review pre-billing reports for accuracy. Review invoices and initiate claim corrections when necessary. Assist with prior authorizations and non-formulary documentation processes. Route and triage documents to appropriate work queues. Handle inbound and outbound customer phone calls. Assist with third-party payer audit preparation. Perform additional duties as assigned.

