Reimbursement Supervisor

Job DetailsJob Location:

Bristol Hospice•Salt Lake, UT•SALT

LAKE CITY, UT

84116

Position Type:

FT SalarySalary Range:

$60,000.00•$70,000.00

Salary/yearJob Shift:

AnyAs a Reimbursement Supervisor, you will lead the day-to-day functions of our billing and revenue cycle operations, helping ensure accuracy, compliance, and strong cash flow performance across the organization. This role partners closely with operations and clinical teams while developing processes, training staff, and driving continuous improvement across the revenue cycle. This is an ideal opportunity for someone who thrives in a fast-paced environment and enjoys combining leadership with hands-on problem solving. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities. We are dedicated to our mission that all patients and families entrusted to our care will be treated with the highest level of compassion, respect, and dignity. For more information about Bristol Hospice, visit bristolhospice.com or follow us on LinkedIn. Our Culture Our culture is cultivated using the following values:

Integrity:

We are honest and professional.

Trust:

We count on each other.

Excellence:

We strive to always do our best and look for ways to improve and excel.

Accountability:

We accept responsibility for our actions, attitudes, and mistakes.

Mutual Respect:

We treat others the way we want to be treated.

Qualifications, Duties, PerksAn Average Day:

(Includes, but not limited to) Perform daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition Generate weekly list of all Medicare/Medicaid, Private Insurance and Self Pay revenue and resolution of batch errors and bill holds as appropriate Provide weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue for assigned sites and all payer team members as needed Prepare and submit invoices to accounts payable for reimbursement and perform follow up to ensure accurate, timely payments are made to our facility partners when applicable Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing Ensure all internal controls and related policies/procedures are implemented and followed in accordance to accounts receivable requirements Ensure all payer requirements are met accordingly, including pre-cert requirements, Medicare notification requirements, and level of care change required documents Alert appropriate team members at the site regarding late or missing documents required for billing Keep information in an orderly manner readily accessible for review; present status as requested Audit for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures Participate in special projects as needed Assist with training of newly hired associates, as well as re-education of revenue teams as necessary Serve as the information resource for any hard revenue generation issues or system issues Assure the completion and coordination of work in an associate's absence, or as needed to maintain departmental standards Maintain Medicare A & B logs and follow up on denials, non-payments, etc. with the Director of Reimbursement on progress of claims and follow up status Submit Quarterly Medicare Credit Balance Report Prepare/review and submit appeal information as needed to payor sources Assist other billers with Medicare/Medicaid, other payors and DDE issues, as needed Assist in the preparation of monthly billing and accounts receivable reports Accurately enter patient billing data, pharmacy and supply charges, into the practice management system Other duties as assigned

Requirements:

Must have three (3) years of experience in health care billing/training, preferably in a hospice care system Must have one (1) year of previous hospice care related billing experience Knowledge of insurance reimbursement and authorization process preferred HealthWyse and/or HealthCare System knowledge is preferred Medical Billing Certificate preferred We Got the

Perks:

Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more

HSA & 401

(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Qualifications:

An Average Day:

(Includes, but not limited to) Perform daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition Generate weekly list of all Medicare/Medicaid, Private Insurance and Self Pay revenue and resolution of batch errors and bill holds as appropriate Provide weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue for assigned sites and all payer team members as needed Prepare and submit invoices to accounts payable for reimbursement and perform follow up to ensure accurate, timely payments are made to our facility partners when applicable Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing Ensure all internal controls and related policies/procedures are implemented and followed in accordance to accounts receivable requirements Ensure all payer requirements are met accordingly, including pre-cert requirements, Medicare notification requirements, and level of care change required documents Alert appropriate team members at the site regarding late or missing documents required for billing Keep information in an orderly manner readily accessible for review; present status as requested Audit for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures Participate in special projects as needed Assist with training of newly hired associates, as well as re-education of revenue teams as necessary Serve as the information resource for any hard revenue generation issues or system issues Assure the completion and coordination of work in an associate s absence, or as needed to maintain departmental standards Maintain Medicare A & B logs and follow up on denials, non-payments, etc. with the Director of Reimbursement on progress of claims and follow up status Submit Quarterly Medicare Credit Balance Report Prepare/review and submit appeal information as needed to payor sources Assist other billers with Medicare/Medicaid, other payors and DDE issues, as needed Assist in the preparation of monthly billing and accounts receivable reports Accurately enter patient billing data, pharmacy and supply charges, into the practice management system Other duties as assigned

Requirements:

Must have three (3) years of experience in health care billing/training, preferably in a hospice care system Must have one (1) year of previous hospice care related billing experience Knowledge of insurance reimbursement and authorization process preferred HealthWyse and/or HealthCare System knowledge is preferred Medical Billing Certificate preferred We Got the

Perks:

Tuition Reimbursement PTO and Paid Holidays Medical, Dental, Vision, Life Insurance, and more

HSA & 401

(k) available Mileage Reimbursement for applicable positions Advanced training programs Passionate company culture committed to the highest standard of care in the hospice industry Join a Team that embraces the reverence of life! EEOC Statement Bristol Hospice is an equal-opportunity employer. Our success depends upon our ability to create and maintain a diverse and supportive work environment where individuality is promoted. Bristol puts high priority on the worth of every person. We do not base our hiring decisions on race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.