Must have experience in LTC/STR billing practices.
- Responsible for Month-End Close process as it pertains to Billing Revenue and Residents Census
- Timely submission of first time claims as well as the monitoring and following up of claims not paid in a timely manner.
- Responsible for refund process for both residents and third-party insurers.
- Responsible for government reporting (Medicare, Medicaid, Department of Health, etc.)
- Assures HIPPA and Corporate Compliance with the resident Billing Information.
- Check Medicare for benefits/eligibility and days available for billing.
- Check/call any other insurance for benefits and determine if preauthorization is needed.
- Enter ADTs into EMR/billing system and update changes as needed.
- Fill out any necessary paperwork for admissions, discharges, and census changes.
- QUALIFICATIONS:
- Bachelor’s Degree: Preferred
- Certified Coding Specialist: Preferred
- Microsoft Excel Required
- Medical billing in LTC: 3 years
- EMR Experience
- Knowledge of CPT and ICD 10 codes
- Knowledge of PDPM coding
- Salary – $78k-84k