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Jewish Senior Services is Hiring a Billing Specialist Insurance & Medicare Reimbursement (Full-time) Near Bridgeport, CT
Summary: Responsible for collecting, posting and managing account payments. Responsible for billing and tracking Medicare A/B and Insurance Accounts.
Reports To: Supervisor, Accounts Receivable
Titles Supervised: None
Hours/Schedule: Monday-Friday Day Shift 8:00am-4:30pm/Full-time 37.5 hrs.
Essential Responsibilities:
- Processes payments and prepares daily deposits.
- All deposits should be listed on the daily deposit log and posted in Matrix.
- Reconciles census monthly, and balances to billing journal.
- Maintains accurate records for audit.
- Resident files are organized in folders chronologically, with all agreements and financial documents.
- Prepares, reviews, and sends patient statements.
- Collection procedures are being followed on all accounts 30 days and over, 1-3 collection letter, and final letter, in conjunction with follow up documented phone calls.
- Identifies and resolves patient billing complaints.
- Follows and reports status of delinquent accounts as requested monthly.
- Daily verifications of all Medicare & Insurance admissions.
- Answers questions from residents and staff as it relates to resident's insurance.
- Process refunds or funds due to residents as credit balances occur. Review and address credit balances monthly.
- Prepare monthly Accounts Receivable outstanding balance reviews.
- Advise Billing Supervisor of accounts recommended to be forwarded to collections and or Legal referrals.
- Insurance & Medicare Billing is to be submitted by the 10th day of each month.
- Each resident's file should have a copy of the CWF, and Insurances verified.
- Medicare/Insurance A/R accounts to be adjusted if needed and maintained up to date each month prior to month end.
- Processes no-pay Medicare claims timely for Medicaid pay starts.
- Verify all outstanding claims using the Medicare TXP screen.
- Co-Ins Claims secondary to Medicare are billed in a timely manner, and all collection procedures are followed. Following up on claims online to update status of payment.
- Attend MDS/PPS Meeting weekly, provide summary of the meeting weekly.
- Distribute and Review the month end Triple Check for Medicare and Insurance.
QUALIFICATIONS
Minimum Qualifications
Education: High School Diploma or GED
Experience: 2 - 3 years related experience in reimbursement billing in a LTC setting.
Licensure: N/A
Knowledge/Skills/Abilities:
1. Knowledge of medical billing/collection practices.
2. Knowledge of computer programs.
3. Knowledge of business office procedures.
4. Knowledge of basic medical coding and third-party operating procedures and practices.
5. Ability to operate a computer and basic office equipment.
6. Ability to operate a multi-line telephone system.
7. Skill in answering a telephone in a pleasant and helpful manner.
8. Ability to read, understand and follow oral and written instructions.
9. Ability to establish and maintain effective working relationships with patients, employees and the public.
10. Ability to handle multiple demands and deadlines.
11. Ability to read and communicate.
12. Must be well organized and detail-oriented.
Environmental/Working Conditions: Normal office environment. Occasional overtime may be required and/or hours may be shortened as business needs dictate.
Physical and Mental Demands: Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a calculator and computer keyboard. This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.
Job Summary
Full Time
$47k-58k (estimate)
05/16/2023
06/07/2024
jseniors.org
FAIRFIELD, CT
100 - 200
1973
ANDREW BANOFF
<$5M
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