Medical Reimbursement Specialist

Do you have a heart for hospice? Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We believe all patients and families entrusted in our care deserve the highest level of compassion, respect, and quality of care. The Payor Verification Specialist works under the direction of the Business Office Manager or Executive Director and is responsible for the verification of insurance and maintenance of all authorizations for hospice and hospice board and room patients. This position verifies insurance, obtains authorizations and re-authorizations as required by payors, enters patient demographic, insurance, and authorization information into the computer system, communicates with other departments regarding the status of referrals, and notifies patients/families regarding coverage and payment responsibilities. Schedule: Full Time; Monday - Friday in office; 8:00am-5:00pm BENEFITS & COMPENSATION: Competitive salary commensurate with experience Mileage Reimbursement Medical, Dental, Vision, Life Insurance and more 401(k) available PTO and Paid Holidays On an Average Day, you will: Coordinate with location for new admissions by gathering and validating intake data Verify insurance, Medicare, Medicaid and Medicaid Room and Board Initiate authorizations for hospice care and hospice room and board Submit room and board notice Maintain current insurance authorizations Audit all hospice admissions Submit the Medicare Notice of Elections Other duties assigned by Business Office Manager or Director JOB QUALIFICATIONS: Must have a high school diploma or equivalent, associate degree preferred Must have three (3) years of related experience with Medicare, Medicaid, and commercial insurance preferably in a hospice environment REQUIRED KNOWLEDGE, SKILLS & ABILITIES: Must possess strong written and verbal communication Must be computer literate Must be able to multi-task Must have strong organizational skills Must possess exceptional problem-solving and analytical skills Must be able to effectively communicate by phone and with difficult internal and external customers Bristol Hospice is an Equal Opportunity Employer and participates in E-verify