Medical Billing and Collections Specialist

We are seeking skilled, knowledgeable, and proficient Medical Billing and Collection Specialist bringing experience working in medical billing, collections, patient accounts management, and customer care capacities for our Skilled Nursing facility located in Delaware. Must be able to work from our Corporate office in Kennett Square PA 4 days a week as well as the Facility in Millsboro, Delaware one day a week. This position requires someone to be organized, hardworking, able to multitask, work independently, with intermediate knowledge in Excel. Medical billing and collection for this position includes Medicare, Medicaid, Insurance, Private, and other payers.
The primary function of the facility bookkeeper is the billing and collection of all resident accounts, and collections on all balances due to the facility.

SPECIFIC DUTIES AND RESPONSIBILITIES

• Assist Residents with Resident Fund management Services (RFMS) for residents holding accounts with facility
• Set up appointments with resident family members as required
• Ability to communicate effectively with hospital, personnel, residents, family members and the general public
• Perform functions of computer/data processor
• Maintain resident confidentiality
• Answer phone messages on voice mail
• Read and respond to Emails
• Enter census changes and admissions from the previous day
• Collection Calls, monitor and collect accounts receivable and report delinquent accounts to the Administrator
• Enter changes to patient pay as they come from Medicaid
• File for Representative Payee’s as needed. Set up in RFMS for direct deposit
• Bill any newly approved Medicaid Residents through EDS
• Eligibility and benefits verification
• At least once a week do a bank deposit Verify accuracy of daily deposit tickets with cash receipt journal
• At least once a week do RFMS deposits/ withdraws and close D\C resident accounts Handle social security checks for resident accounts, pay care cost for resident Process and post daily charge slips to resident accounts
• Enter your cash deposits and remittance advices Post payments received to appropriate resident’s accounts (i.e. Private Pay, Medicare, Medicaid, Hospice, other insurance, etc.) Record payments received to appropriate cash receipts journal
• Attend U\R meetings
• File Income protections to Medicaid
• By the 1st business day balance the census with the admission for the previous month
• By 2nd of month fax accurate census, to the Lab, X-Ray, Pharmacy, etc
• Bill Medicaid before Friday 10:00am the first week of the month
• Bill VA, Hospice, Insurance etc the first week of the month
• By the 10th Enter\review all the ancillary charges i.e. Therapy, Medical supplies, pharmacy, lab, x-ray, incontinency, airflow beds, oxygen etc.
• By the 13th bill\transmit Medicare
• By the 15th Verify Accuracy of system and Close the month in the billing system
• By the 17th Private statements mailed Prepare monthly statements for mailing
• Attend A\R meetings
• By the 25th RFMS bank statement reconciliation and verification all D\C residents refunded
• 3rd party payment posting
• Assist in reconciling trial balances as directed
• Assist in reconciling bank statements as directed
• Last day of the month Deposit
• Review and handle concerns, correct errors on residents accounts
• Maintain a file of copies of all charge slips, debits, credits, etc. issued to each resident
• Petty cash
• Follow established resident fund accounting procedures. Provide each resident with a quarterly accounting of funds managed by facility
• Support Onix Accounting Department as needed.
• Travel to Wilmington Delaware one day a week
• All other related duties as assigned by the Administrator/Corporation

QUALIFICATIONS: Education:

• High School Diploma or equivalent required

Experience:

• 2 years bookkeeping/accounting preferred
• Healthcare industry preferred
• Medical Billing/ Collections Experience preferred

ESSENTIAL JOB REQUIREMENTS:

• Must be willing to travel to our locations in Southern Delaware once a week.
• Must be proficient in Microsoft office, excel and word.
• Must be able to read, write, comprehend and speak the English language
• Must be able to make independent decisions when circumstances warrant such action
• Must be able to plan, organize, develop, implement and interpret the programs, goals, objectives, policies and procedures
• Must be able to carry out oral and written assignments in a timely manner
• Must be able to problem solve effectively
• Must possess computer knowledge/experience

Physical and Sensory Requirements
(With or Without the Aid of Mechanical Devices)

• Must be able to move intermittently throughout the workday.
• Must be able to speak and write the English language in an understandable manner.
• Must be able to cope with the mental and emotional stress of the position.
• Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.
• Must function independently and have flexibility, personal integrity, and the ability to work effectively with residents, personnel, and support agencies.
• Must meet the general health requirements set forth by the policies of this facility, which include a medical and physical examination.
• Must be able to relate to and work with the ill, disabled, elderly, emotionally upset, and, at times, hostile people within the facility.
• Must be able to push, pull, move, and/or lift a minimum of 20 lbs. to a minimum height of 3 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 5 feet.

May be necessary to assist in the evacuation of residents during emergency situations.