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Responsible for the processing of all payable claims for Managed Care Program clients, weekly billing of LTHH, PCA, HHA, Non-Skilled Nursing, and Therapy visits. He or she will maintain a monthly calendar and census for each client and ensure accurate statistical data Quarterly Cost Reports, and also submit weekly claims to Medicare, investigation denials and re-submitting corrected claims. They must submit monthly Medicaid claims and preparing bills for private spend-downs while researching all Medicaid denials and re-billing accounts when necessary. It is important to maintain an accurate account receivable aging by following-up on all unpaid charges and determining account write-off and refunds.
Medicaid and Medicare billing experience a plus. Applicant should have the ability to use reference material, have good written and verbal communication skills and knowledge of bookkeeping, accounts receivable and knowledge of computer operations.