Revenue Cycle Hospice Invoicing Specialist

The Revenue Cycle Hospice Invoicing Specialist role involves managing and processing facility invoices within electronic medical record (EMR) systems, ensuring accuracy, timeliness, and compliance. The position requires strong analytical and problem-solving skills to resolve invoice discrepancies, verify insurance coverage and patient liability, and support Revenue Cycle and Accounts Payable inter-departmental functions. The role also demands strong customer service skills to assist and support operations leaders with room and board inquiries.

* Efficiency

• Investigates and resolves variances in EMR, including patient liability, authorized service dates, room and board daily rates, and related factors.
• Prepares and generates LTC invoices from the EMR prior to submission to Accounts Payable for processing.
• Accurately and promptly completes EMR workflows related to LTC room and board and facility invoicing.
• Reviews and verifies GIP and Respite invoices for accuracy before submitting to Accounts Payable for payment.

* Quality

• Conducts insurance verification when discrepancies in coverage, authorization, or liability are identified.
• Responds to inquiries from Accounts Payable personnel by researching and resolving issues related to invoice submissions.

* People

• Professionally and promptly addresses inquiries from operations staff and contracted facilities regarding invoice processing and payment status.
• Independently troubleshoots issues prior to escalating to Supervisor or Manager for resolution.
• Collaborates effectively in a dynamic environment, demonstrating professionalism and a cooperative spirit.

* Service

• Investigates and responds to field agency personnel regarding the status of facility invoice payments and processing.
• Adheres to the work schedule and meets attendance expectations.
• Completes special projects and other assignments as needed.
• Performs related duties as required or assigned.

Formal Education:

High School Diploma or equivalent

Experience:

1 year Insurance verification and/or authorization experience, preferred. Revenue cycle, accounting or accounts payable experience desired.

Skill Requirements:

Demonstrates the ability to quickly learn and navigate multiple systems daily, including electronic medical records, clearinghouses, and insurance carrier platforms.

Exhibits strong problem-solving capabilities with the capacity to manage multiple tasks simultaneously.

Works independently with consistent prioritization of responsibilities to ensure timely and accurate completion of assignments.

Possesses advanced computer proficiency, including solid experience with Microsoft Office applications.

Thrives in a fast-paced, dynamic environment, adapting effectively to ongoing changes.

Delivers exceptional customer service with clear, professional written and verbal communication skills.