4 Jobs in Cabin Creek, WV
CommuniCare Health Services is Hiring a Pharmacy Billing Specialist Near Cabin Creek, WV
Qualifications/Experience Requirements
- High School Diploma or GED required.
- Previous Medical Billing experience required.
- Framework knowledge is a plus.
- Pharmacy Experience/Background is a plus.
- Completing Action Summary for assigned homes on a daily basis
- Census reconciliation on a weekly basis including Medicare. This includes: 1. Verifying correct patient setup for monthly billing (i.e. validating Data set up correctly - MOP’s, Medicare Days, invoice group, customer group, address, allergies, mrn) 2. Completing SQL Reports.
- Monitor and manage room moves and update in Framework.
- Begins rebill process based on payer changes.
- Primary Billing Batches worked in timely manner (2 to 3 days).
- Primary and Secondary Rebilling - Private Pay accounts, Medicaid approval, incorrect billing, etc. Communicate to management if Rebilling is not completed by the 9th of each month.
- Back up for daily deposit
- Back up for Hospice Med list and hospice rebilling
- Ensure assigned homes billed accurately and timely at month end. (LTC complete by 4th business day. Private pay residents billed by the 5th business day but no later than the 10th of each month.)
- Assist Accounts Receivable Analyst in the following: 1. Customer Notes- answer family billing questions for assigned homes in timely manner. 2. Monitor Medicaid Pending Group each month ensuring claims are rebilled once Medicaid approval is received. 3. Send BAE on Medicaid Approved Residents when needed.
- Third Party Audits as requested by supervisor
- Assist with Training and QA (Quality Assurance)
- Running Daily MOP Verification Reports (Outside MEDA, MCR Changed to GUAR, Outside MCR Days, Posted MOP Report)
- Monthly Composite Batches
- Assist with other projects as assigned
Job Summary
Full Time
$48k-66k (estimate)
06/01/2024
06/20/2024
communicarehealth.com
FLORISSANT, MO
3,000 - 7,500
1984
CATHY IMMEL
$200M - $500M
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About CommuniCare Health Services
The CommuniCare Family of Companies currently owns/manage numerous World-Class nursing and rehabilitation centers, Specialty Care Centers and assisted living communities throughout Ohio, Indiana, Missouri, Pennsylvania, Virginia, West Virginia and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the heart's of others." Through this effort we create "Caring Communities" where staff, resi ...
dents, clients and family members care for and about one another. When combined with our highly professional and competent staff and efficient and effective systems, this results in a warm, loving environment where our residents become part of the family and enjoy a higher quality of life.
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The job skills required for Pharmacy Billing Specialist include Billing, Accounts Receivable, Medical Billing, etc. Having related job skills and expertise will give you an advantage when applying to be a Pharmacy 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 Pharmacy Billing Specialist. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Pharmacy Billing Specialist positions, which can be used as a reference in future career path planning. As a Pharmacy Billing Specialist, it can be promoted into senior positions as a Billing Manager that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Pharmacy Billing Specialist. You can explore the career advancement for a Pharmacy Billing Specialist below and select your interested title to get hiring information.
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