- Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.
- Monitor verifications and authorizations obtained and ensure complete service spans are covered.
- Answer business office manager and/or responsible party inquiries on account status and charges.
- Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.
- Timely submission of SNF claims to various insurance companies
- Prepares and generates clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.
- Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.
- Monthly billing for all Commercial and Managed Care plans
- Oversee authorization process to ensure accuracy
- Create deposits weekly
- Post cash to resident ledgers weekly
- Follow up on all outstanding A/R
- High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.
- Experience in area of billing, denials review, and accounts receivable processes required.
- Medicaid and Managed Care Billing Experience
- Salary commensurate with experience
- Generous PTO package
- Health/Dental Benefits
- 401k plan
Managed Care Biller - Woodbury, United States - Cassena Care
Description
Cassena Care is seeking a Managed Care Medical Biller to join our dynamic team of professionals.
responsibilities include but are not limited to:
Qualifications:
What we offer: Our organization offers employees far more than just a place to work. Rather, we are a company you can be proud of, where you'll feel good about devoting your time and your talents.
We are an EOE