SNF Medicare/Managed Care Biller
Company: Roselane Health Center By Harborview
Location: Marietta
Posted on: May 8, 2024
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Job Description:
*Full Job Description*Harborview Health Systems is looking for
an experienced Biller to join our dynamic team at Roselane Health
Center by Harborview. Harborview Health Systems is comprised of 18
Skilled Nursing Facilities and 2 ALFs company wide and we are
consistently looking for new team members to join our growing
family.*Resident and A/R related duties:** Reviewing the resident
payer sources to ensure the account is 100% accurate and
eligibility is verified on Admission.* Each month, the biller will
be responsible for Triple check of Medicare and Managed Care claims
for accuracy. This Triple check review will be completed with the
interdisciplinary team.* Produce and release claims for Medicare
A/B, Managed Care A/B, Commercial, Supplemental and Medicaid
payers.* Complete follow-up review of outstanding claims based on
the AR Aging report. Work denials and correct claims as needed.*
Educate and learn the facility Managed Care contracts as it is
related to Level of Care, Authorization requirements, Payer Carve
outs. Work with Third Party vendor on Authorizations and
discrepancies/clarity of coverage.* Track denial trends and report
to the VP of Revenue so education can be provided.* Assist Business
Office Manager (as needed) on Business Office duties.* Maintain
claim and Remit records. Post Adjustments as needed in PCC when
co-insurance is due.* Bill co-insurance payers when the primary
claim pays. Track co-insurance Aging accounts to ensure billing and
collections are kept current.Requirements:*Administration:**
Communicate with Administrator, Regional Director of AR, RDO, VP of
Revenue and Home Office as needed to maintain communication and
needs as it pertains to claims.* Ensure OSHA compliance completing
required forms as applicable* Be a key player in AR Aging Review
meetings to update facility and home office staff on claims status
(monthly meeting).*Customer Service** Provide superior customer
service when interacting with residents, families, visitors, and
staff*Requirements:** AA Degree preferred in accounting or
business, or equivalent experience, but not required.* Three years'
experience working in Accounts Receivable (SNF billing is
preferred)* Excellent organizational, interpersonal, and
communication skills* Demonstrated ability to use accounting
software programs and Microsoft Office* Demonstrated ability to
meet project deadlines* Ability to analyze reports and identify
issues that could affect day to day business operations* Excellent
customer service skillsJob Type: Full-timeBenefits:* 401(k)* Dental
insurance* Health insurance* Life insurance* Paid time off* Vision
insuranceSchedule:* 8 hour shift* Monday to FridayExperience:*
Administrative experience: 1 year (Required)* Medical Billiing: 3
years (Required)Work Location: In personby Jobble
Keywords: Roselane Health Center By Harborview, Cleveland , SNF Medicare/Managed Care Biller, Other , Marietta, Tennessee
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