What are the responsibilities and job description for the Claims/AR Resolution Specialist position at Larry H. Miller Senior Health?
Description:
A Skilled Nursing Facility AR Resolution Specialist ensures the revenue for services provided by skilled nursing facilities are collected and reimbursed appropriately.
Schedule: Full-Time, 8 Hour Shifts, Hybrid Position - WFH 4 days a week & In office 1 day a week
Responsibilities and Duties:
- Obtaining claim status from insurance plans via phone and/or online portals
- Reviewing medical insurance claims for resolution and payment in a timely manner for maximum reimbursement
- Analyzing remittance advices to ensure accurate and timely posting of rejections, payments, and contractual adjustments
- Posting payments received and adjudicating accounts
- Maintaining a working knowledge of payer practices and reimbursement methodologies
- Becoming a subject matter expert in assigned A/R responsibilities
- Researching, compiling, and responding to documentation requests from insurance carriers
- Establishing and maintaining positive working relationships with facilities
- All other duties as assigned
Job Qualifications:
- Minimum of 1 year of previous medical accounts receivable experience required
- Knowledge of skilled nursing operations preferred
- Regularly required to walk, sit, stand, bend, reach, lift, and move about
- Ability to communicate effectively, both orally and in writing.
- To perform other duties as required
Salary : $18 - $23