Medical billing specialist

2 years Medicare Part A and Part B Billing Eperience

Job description

Responsible for overseeing accounts receivable procedures, including billing and month-end close activities, which generate general ledger and accounts receivable financial reports for the organization.

Ensures that processes adhere to the guidelines and regulations set forth by the Centers for Medicare & Medicaid Services , HIPAA, General Accepted Accounting Principles (GAAP), as well as the software systems, protocols, policies, and procedures of the organization.

This role entails managing processes related to collections, appeals, denials, and bad debt for cost reporting, along with other critical processes associated with accurate billing, revenue, and receivable management.

Proficiency in giving and receiving written and verbal instructions in English is essential. Additionally, candidates should possess knowledge of key staff, residents, and families, as well as a basic understanding of employee relations, ethics, sanitation, safety, and regulatory standards for healthcare facilities.

RESPONSIBILITIES : Include the following. Other duties may be assigned.

• Keeps confidential all information not specifically authorized to be given to others.
• Manage facilities admissions and discharge census entries, verification of benefits, validates accurate payer type setup on resident record in billing system.
• Booking and posting charges for all payers and new move ins with special requests.
• Processes month end close for Assisted and / or Memory Care Living (AL and MC) locations in a timely manner.
• Manages accounts receivables and collections for AL / MC .
• Manages Private Pay accounts, billing statement generation and provides customer service to all residents as requested or required.
• Processes refunds timely.
• Enters and posts ancillary charges.
• Enters and posts cash receipt payments.
• Attends required meetings for department and position.
• Creates financial reports relating to account receivables during the month end close process and completes the required reconciliation(s).
• Audit aging report functions to target accounts, maintain or increase cash flow and resolve accounts receivable balances timely.
• Send follow-up inquiries timely and assists with requested information.
• Utilize and manage multiple billing operation systems and web based portal tools.
• Manages Trust Fund by completing deposits, withdrawals and refunds.
• Maintains Admission Fee flowsheet for tracking.
• Observes and follows safety policies and procedures.
• Observes and follows infection control policies and procedures.
• Attends all mandatory in-services as required.
• Demonstrates positive guest relations to internal and external customers.
• Team Members are required to report to their Department Director all incidents of actual or possible abuse of a Resident that they become aware of.

Abuse in this respect includes, but is not limited to, verbal, sexual, physical, and / or mental abuse, corporal punishment, involuntary seclusion, neglect, and / or any misappropriation of property.

Team Members will make the report as soon as possible after they become aware of the incident of actual or possible abuse.

May be assigned other related duties and responsibilities as required by VP of Finance

REQUIRED SKILL, EDUCATION AND / OR EXPERIENCE :

Minimum of Associate Degree or 2 years relevant experience.

PHYSICAL REQUIREMENTS :

The physical requirements outlined here are indicative of those necessary for a Team Member to effectively carry out the essential duties of this position.

Reasonable accommodations may be provided to enable individuals with disabilities to fulfill these essential functions.

While performing the responsibilities of this role, the Team Member will regularly need to stand, use hands for various tasks, and reach with hands and arms.

Walking and verbal communication are frequently required. Occasionally, the Team Member may need to climb, balance, stoop, kneel, crouch, or crawl.

They should be capable of sitting, standing, bending, reaching, stooping, walking, and moving intermittently without restrictions during working hours.

The work is predominantly sedentary, but physical exertion may be required to occasionally lift, carry, push, pull, or manipulate objects weighing up to 15 pounds, or to exert negligible force frequently.

Specific vision abilities essential for this role include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

WORK ENVIRONMENT :

The work environment details provided here reflect what a Team Member typically experiences while carrying out the essential duties of this position.

Reasonable adjustments may be arranged to facilitate individuals with disabilities in performing these tasks. The role primarily involves working indoors in a climate-controlled environment with adequate lighting and ventilation.

The Team Member should be proficient in operating standard office equipment. There is a possibility of exposure to hazardous chemicals or infectious substances.

POSITION REQUIREMENTS :

Alert and attentive to detail. Ability to remember locations, names and people. Work under pressure and manage multiple tasks.

Must present a neat, clean, professional appearance and demonstrate a positive, cheerful attitude towards employees and residents.

Job Type : Full-time

Benefits :

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule :

Monday to Friday

Work setting :

• Nursing home
• Rehabilitation center

Work Location : In person

If you are interested in this position apply online or submit your resume to Jon Sheffield at jon.sheffieldgogpac. If you have any questions or wish to discuss in more details, feel free to text / call at 281.

823.7279. All inquiries are strictly confidential. linkedin / in / jonsheffield /

All qualified applicants will receive consideration without regard to race, age, color, sex (including pregnancy), religion, national origin, disability, sexual orientation, gender identity, marital status, military status, genetic information, or any other status protected by applicable laws or regulations.

GPAC (Growing People and Companies) is an award-winning search firm specializing in placing quality professionals within multiple industries across the United States since 1990.

We are extremely competitive, client-focused and realize that our value is in our ability to deliver the right solutions at the right time.

Last updated : 2024-02-24