This position is a general patient accounting position with a variety of duties related to day to day
review, input, processing and coordinating of receivable information for designated facilities.
Duties and responsibilities of this position include, but are by no means limited to the following
tasks and assignments:
Maintain all claims and documentation that pertain to the Exhibit 5 criteria.
Move open bad debt Exhibit 5 amounts for each facility to the current month for collections.
Track and update the community on outstanding documents such as Assignment of Benefits and Medicare Secondary Payer forms.
Screen all claims for possible primary insurance other than Medicaid.
Input Medicare remit dates and billing information into computer system including:
Prepare and submit hardcopy billing for Medicaid Obligations.
Assist in the close process as needed.
Coordinate interaction with the Problem Resolution Unit at the State for Medicaid claim rejections
Complete Medicaid Adjustment Request Forms for all Medicaid under and over-payments
Maintain clear and up-to-date notes on progress of all outstanding balances regarding Medicaid coinsurance.
Assist facilities on all incoming questions and requests
Assist Medicaid Billing Manager with new employee training and back up support for billing specialist absences.
Manage the process for Private Coinsurance Bad Debt.
Sort, Copy and Send paper claims via Certified Mail.
Code and distribute invoices by payer for charge entry and Accounts Payable processing according to the written process chart.
Scan, Distribute and track Patient Assessment Adjustment Reports
Complete Adjustment Request Forms for Verified Unbilled Services as reflected on the Patient Assessment Adjustment Reports
Coordinate interaction with facility vendors to provide resident demographic and payer information
Prepare and send all reports according to the written procedure manual.
Prepare and send Resident reports to the Pharmacy coordinators and Med Supply department 24 hours prior to facility visit.
All other duties as assigned
Qualifications for this position include:
High School Diploma or equivalent
Minimum of 4 years experience in a billing related environment or AA degree with 2 years of the same experience or a BS degree no experience
Ability to communicate effectivley with outside stae agencies, vendors and all levels of management and employees is necessary.
Strong research, problem solving and resolution abilities are required
Familiarity with personal computers, including Microsoft office is strongly desired
Ability to support administrative staff in office environment including working of office equipment such as fax machines, copiers, phone systems and 10 key calculators and computer equipment is required