Billing Readiness LPN

Serenity Hospice Care Hamilton Township, NJ, US

$35 / hour

Serenity Hospice Care NJ is seeking a highly organized, detail-oriented, persistent and proactive Billing Readiness Coordinator to join our team. This is an important administrative and clinical-support position responsible for overseeing our daily billing readiness and claims-hold process and making sure issues are identified, assigned, followed up on, and resolved before they impact the billing cycle.

About the Role

The Billing Readiness Coordinator serves as the central point of coordination for identifying issues that could prevent hospice claims from being billed. You will oversee the billing-hold process from identification → assignment → correction → verification → release to Billing.

This position is ideal for an experienced LPN who has strong clinical process's knowledge, excellent follow-through, and the ability to communicate clearly with multiple departments and hold staff accountable for resolving outstanding issues.

Key Responsibilities

Maintain and monitor a daily billing-hold tracking system.
Assign billing holds to the appropriate department or responsible individual.
Monitor the age of outstanding holds and ensure timely follow-up.
Track issues through completion and verify that corrections have been made before releasing claims to Billing.
Follow the established escalation process when issues remain unresolved.
Coordinate with clinical, administrative, and leadership teams to resolve billing-readiness concerns.
Conduct or assist with a daily billing-readiness huddle with key department representatives.
Route billing holds based on department responsibility rather than distributing unnecessary information to multiple departments.
Identify recurring problems and communicate trends to leadership.
Monitor physician orders requiring follow-up and ensure appropriate action is completed.
Support the Daily Pre-Billing Readiness Report to identify and resolve problems before the billing cycle.
Track the financial impact of billing holds, including estimated dollars being held.
Prepare reports regarding:
- Total claims currently on hold
- Claims resolved since the previous report
- Remaining claims on hold
- Holds by reason and department
- Holds exceeding 3 days
- Oldest outstanding holds
- Estimated dollars held
- Significant or recurring issues requiring leadership attention

Common Issues You Will Monitor

The Billing Readiness Coordinator will help identify and route issues including:

Unsigned physician orders
Missing physician certifications/recertifications
Incomplete RN documentation
Incomplete HHA documentation
Incomplete Social Work/Chaplain documentation
Missing visit notes
Visit frequency or order mismatches
Missing or incorrect authorizations
Election, consent, or document issues
Level-of-care entries
EMR/system issues
Other unidentified billing holds

Required Qualifications:

Current, active New Jersey LPN license
Minimum 2 years of nursing experience
HCHB experience preferred
Hospice or palliative care experience preferred
Strong understanding of documentation and clinical workflows
Excellent verbal and written communication skills
Strong organizational and analytical abilities
Excellent problem-solving skills
Ability to prioritize and manage multiple outstanding issues
Ability to work independently while collaborating effectively with a team
Strong attention to detail and follow-through
Comfortable working with reports, tracking systems, and deadlines
Full Time 8:30am to 4:30pm Monday through Friday
Serenity Hospice Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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