- Nashville, Tennessee, United States
- Entry
- 1+ years
Join Synergy’s highperforming revenue cycle team as a Pre-Bill Specialist! We are seeking a detaildriven, compliancefocused professional to ensure accuracy and completeness of all documentation before claims are submitted.
Responsibilities
- Perform detailed prebilling audits on all Home Health and Hospice charts to verify documentation completeness and accuracy.
- Confirm all visit notes, supervisory notes, plans of care, OASIS assessments, certifications, and recertifications are signed, dated, and compliant with payer and regulatory requirements.
- Completes an administrative record audit following patient discharge or prior to billing and forwards abnormal results to the Clinical Director or their designee for clinical audit.
- Supervises the use of the clinical records information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
- Validate patient eligibility, insurance coverage, and authorization requirements prior to claim release.
Requirements
- Nice to have: Prior experience conducting prebilling or QA reviews in a Home Health or Hospice setting
- Nice to have: CMS requirements for Home Health and Hospice admissions
- Nice to have: signed orders compliance
- Nice to have: regulatory forms and criteria for compliant billing
- Nice to have: Home Care Home Base (HCHB) EMR