Hours/Schedule: Monday-Friday Day Shift 8:00am-4:30pm/Full-time 37.5 hrs.

• Processes payments and prepares daily deposits.
• All deposits should be listed on the daily deposit log and posted in Matrix.
• Reconciles census monthly, and balances to billing journal.
• Maintains accurate records for audit.
• Resident files are organized in folders chronologically, with all agreements and financial documents.
• Prepares, reviews, and sends patient statements.
• Collection procedures are being followed on all accounts 30 days and over, 1-3 collection letter, and final letter, in conjunction with follow up documented phone calls.
• Identifies and resolves patient billing complaints.
• Follows and reports status of delinquent accounts as requested monthly.
• Daily verifications of all Medicare & Insurance admissions.
• Answers questions from residents and staff as it relates to resident's insurance.
• Process refunds or funds due to residents as credit balances occur. Review and address credit balances monthly.
• Prepare monthly Accounts Receivable outstanding balance reviews.
• Advise Billing Supervisor of accounts recommended to be forwarded to collections and or Legal referrals.
• Insurance & Medicare Billing is to be submitted by the 10th day of each month.
• Each resident's file should have a copy of the CWF, and Insurances verified.
• Medicare/Insurance A/R accounts to be adjusted if needed and maintained up to date each month prior to month end.
• Processes no-pay Medicare claims timely for Medicaid pay starts.
• Verify all outstanding claims using the Medicare TXP screen.
• Co-Ins Claims secondary to Medicare are billed in a timely manner, and all collection procedures are followed. Following up on claims online to update status of payment.
• Attend MDS/PPS Meeting weekly, provide summary of the meeting weekly.
• Distribute and Review the month end Triple Check for Medicare and Insurance.

QUALIFICATIONS

Minimum Qualifications

Education: High School Diploma or GED

Experience: 2 - 3 years related experience in reimbursement billing in a LTC setting.

Licensure: N/A

Environmental/Working Conditions: Normal office environment. Occasional overtime may be required and/or hours may be shortened as business needs dictate.

Physical and Mental Demands: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.