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JOB DUTIES:
§Admission function:
oCall Medicare for benefits/eligibility and days available for billing. Call any other insurance for benefits and preauthorization if needed.
oMeet with the families on signing all paperwork in the admission agreement with explanation of services. Collection of insurance cards, P.O.A. and any other paperwork pertinent to their length of stay.
§Billing function:
oPerforms billing of services to residents and all third party payers, including private pay, Medicaid, Medicare and Hospice.
oEnsure all billing is entered into Reliable and Sigma Care.
oAnswer telephone calls from insurance companies, residents/families, co-workers from other departments to ensure correct information for billing.
oEnsure system updates are performed in timely manner
oUpdate NAMI information on a monthly basis
oPerform Medicare billing, ensuring compliance with Medicare billing regulations, such as itemizing ancillary charges, utilizing appropriate diagnosis codes and reviewing appropriateness of rugs coding with MDS nurse.
oEnsure Medicaid billing is done weekly.Checking remittance status and amount through hot line phone number each week.
oEnsure Private Pay bills are billed out in advance each month.
oPrepare monthly bill days report and balance with census and room and board charges.
oCall and prepare paperwork for bed hold. If resident is not Medicaid and is discharged to the hospital and wants to hold the bed, collect 3 days bed hold by noon the day after transfer. If no bed hold, call to verify and prepare paperwork to be mailed out with date mailed, initials and copys to bed hold file and chart and noted in MCMEMO.
oMedicaid application process, meeting with families, collecting required paperwork and scheduling videoconferencing.
oOnce resident becomes Medicaid eligible, advise pharmacy and enroll resident in Medicare Part D online.
§Other functions:
oProvide backup for resident bank person when needed.
oPerform other accounting and/or business office functions as needed.
Requirements:
Associates Degree in Business Administration or related field. Two years experience in health care/medical billing. Proficient use of Microsoft Office products and automated
accounting and billing software systems.
Full Time
$44k-57k (estimate)
01/05/2024
04/26/2024
iroquoisnh.org
Jamesville, NY
25 - 50
The job skills required for Healthcare Billing Specialist include Billing, Accounts Receivable, Billing Software, Microsoft Office, Health Care, Scheduling, etc. Having related job skills and expertise will give you an advantage when applying to be a Healthcare Billing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Healthcare Billing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Healthcare Billing Specialist positions, which can be used as a reference in future career path planning. As a Healthcare Billing Specialist, it can be promoted into senior positions as a Medical Billing Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Healthcare Billing Specialist. You can explore the career advancement for a Healthcare Billing Specialist below and select your interested title to get hiring information.