- The Billing Specialist is responsible for the full-cycle billing processes.
- These duties include, processing monthly skilled nursing facility claims for Medicare, Medicaid, Private payers and third-party insurances, posting insurance payments, working denials, and ensuring current A/R for assigned facilities is accurate.
- Maintains or oversees maintenance of accounts receivable systems, resident billing and accounts according to accepted accounting principles, regulations, and company policy/procedures and timelines.
- Maintains and oversees the billing and control of Medicaid, Medicare, Medicare Advantage, private insurance and co-insurance for patient claims.
- Guarantees that all claims are filed accurately and on a timely basis.
- Ensures that the co-insurance is billed to the responsible party or insurance company timely.
- Communicates and works cooperatively with fiscal intermediaries, company accounting staff, auditors, state agencies and facility staff.
- Research delinquent accounts and works the claim denial management process.
- Complete general bank deposits and posting of electronic payments, making adjustments as needed.
- Submit electronic and manual billing claims to carriers' intermediaries, and other payer sources through clearinghouse. Follow-up on Return to Provider (RTP) claims or rejected claims by the clearinghouse.
- Reviews and updates census in EHR as necessary to ensure accurate billing
- Reviews A/R monthly for accuracy.
- Maintains professional and technical knowledge by attending educational workshops.
- Follows instructions and completes daily assignments as assigned and is proactive to change.
- 1-2 years of experience in medical billing.
- Skilled nursing facility billing experience preferred (but not required)
- Strong verbal and written communication skills
- ICD-10 knowledge
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Billing & Accounts Receivable Specialist - Urbandale, United States - Hawkeye Care Centers of Iowa
2 weeks ago
Description
Job Summary:
As a member of the Finance team, this position is responsible for the timely filing of claims to support skilled nursing and assisted living facilities.
Essential Functions and Responsibilities:
Qualifications:
Education and Experience