2018-01-10

Medicare, A/R Billing Specialist
Job Opportunity at Corporate Resources, LLC

Posted on Jan 10

http://www.corpresources.com    513-792-4242

Location: Cincinnati, OH
Job Type: Full Time
Job ID: W4149780

This position is with a company that owns and operates many Long Term Care facilities throughout the Midwest. This position will be in Cincinnati, Ohio.

Major Accountabilities and Supporting Actions 
  • Verify receipt of monthly triple check forms and audit for accuracy per triple check policy prior to claims submission.
  • Review of Medicare A, Medicare A No Pays, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare billing guidelines.
  • Submission of Medicare Advantage Copy claims.
  • Daily cash posting of Medicare remittance advices
  • Follow-up on unpaid claims and document account within standard billing cycle time frame (16 days after submission).
  • As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance.
  • Monitor for and report Medicare additional development requests (ADR’s) per process guidelines.
  • Conduct account research and analysis.
  • Submission of write offs for uncollectable accounts.
  • Identify and create batches for necessary billing adjustments.
  • Accurately prepare and maintain various reports to include: Monthly Cash Report & Shortage Explanation, Triple Check Audit, Credit Balance Report.
  • Interact with facility staff to resolve outstanding issues.
  • Participate in monthly A/R reviews.
  • Participate in the month end close process.
Requirements:
  • Knowledge of Medicare Billing Guidelines
  • 1 – 2 years previous billing experience
  • 2 - 4 years advanced education beyond high school, or comparable work experience
  • POINT-CLICK-CARE IS A MUST
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