Paradigm Health

• Demonstrate commitment to the Paradigm Health mission, vision and core values through your daily job performance. • Process all Medicare Hospice Notices (NOE/NOTR) promptly and follow up to confirm acceptance within the required timeline. • Collaborate with the Intake team to verify patient benefits and consents, addressing potential issues prior to admission. • Assist with audit of daily admissions and discharges. • Daily completion of Medicare billing audit and claims submission processes, ensuring accuracy, timeliness, and compliance with CMS requirements. • Monitor and reconcile Medicare hospice claims daily; troubleshoot rejections, make timely corrections, and resolve issues to prevent payment delays.

• Full-time Palliative Insurance Billing Specialist • Schedule: Monday thru Friday, Full Time • Perform claim scrubbing to ensure accurate, compliant submission of palliative care claims. • Submit, monitor, and resolve professional claims, including rejections and denials. • Manage accounts receivable, including aging and timely payer follow-up. • Research and resolve denied or underpaid claims; submit appeals and corrections as needed. • Perform payment posting, including application, adjustments, and reconciliation. • Collaborate with Intake and clinical teams to ensure accurate patient and billing information. • Verify insurance coverage and support clean claim submission. • Monitor payer trends and support process improvements. • Manage billing cycles in accordance with organizational standards. • Complete routine audits to ensure compliance and accuracy