- Medical Insurance
- Tuition reimbursement program
- An employee appreciation bonus, which is funded by our residents
- Now offering DailyPay
- 403 (b) retirement plan with employer match
- PTO and paid holidays
- An exceptional work environment that is both engaging and fun
- High school diploma or equivalent
- Medical Billing Certification
- 1-2 years of Accounts Receivable experience or 3-4 years' experience in Accounts Receivable, with skilled nursing billing experience
- Completes all Health Center billing, including HMO and Medicare is completed.
- Meet daily with the HC Leadership team to review treatment plans and changes in financial status.
- Monitors amended contracts and ensures proper billing rates.
- Verification of Medicare days used.
- Participates in the monthly triple-check process for Medicare Part A & B claims.
- Participate in quarterly compliance meetings and ensure Health Center billings meet all Federal and State guidelines.
- Reconciles the census at month end & notifies appropriate ancillary service providers that bill based on census levels.
- Maintain separate files for Medicare remittances, hospice payments, Medicare denial letters, and monthly training on Noridian for changes.
- Input appropriate billing codes into Vision.
- Ensures accuracy of patient insurance before and throughout admission.
- Ensures all records used for Accounts Receivable are complete and accurate.
- Maintains contract files on Health Center residents.
- Inputs Accounts Receivable information into the computer database.
- Processes Accounts Receivable data and prepares billing statements, including an audit review, for distribution.
- Prepares monthly Accounts Receivable reports and uses them for account analysis and timely follow-up of aging accounts.
- Maintains McKesson software database relating to healthcare supplies. Ensures the charge-capturing system continues to capture data.
- Complete Medicare Credit Balance Report.
- Communicates related accounting data with residents, staff, and others professionally and courteously.
- Follows claims through Medicare audits and appeals to ensure prompt payment and any refunds are issued promptly.
- Verifies that all HMO claims are received promptly via telephone or Internet.
- Assist other departments including purchasing and admissions, MDS, and medical records to ensure a timely billing process
- Bill Medicare co-insurance when appropriate.
- Verify all ancillary charges for accuracy and reasonableness, including oversight of central supplies billing.
- Complete the check-off list for Medicare ADR (Additional Documentation Requests) in an organized manner.
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Medical Billing Specialist - San Diego, United States - Clarendale of Schereville
Description
Job DescriptionPosition Title: Medical Billing Specialist
Schedule: 32hours per week
Salary: $ $42.00
Who we are:
Experience the future of senior living and care as soon as you step foot into our doors. Casa de las Campanas offers upscale resort-style living in the scenic area of Rancho Bernardo. Our team of dedicated professionals strives to improve the lives of seniors in our community on a daily basis. Our campus and surroundings reflect the love that our residents have for southern California. Our unique combination of an all-inclusive lifestyle, exceptional hospitality, and stunning location is unmatched. Our well-traveled and outdoorsy senior community enjoys socializing over meals, exploring nearby trails, and taking in breathtaking views. We are currently seeking a talented Medical Billing Specialist for our Health Center. If you want to experience a fresh perspective on senior living, join us today
You will enjoy:
The Health Center Medical Billing Specialist shall be responsible for all aspects of Health Center Billing, including HMO and Medicare Billing, Accounts Receivable, and A/R Cash Receipts. They shall also provide backup assistance for other accounting staff.
Essential Job Duties
Health Center Billing
EOE