Details
12/03/2019
Medical Biller
Fairlawn Retirement Community
Medical Biller
Position Summary: This position requires knowledge of Medicare & Medicaid programs, as well as specific programs related to Long Term Care. Must be a self-starter, well organized and thorough in work habits. Position also requires good accounting practices knowledge, along with excellent customer relationship skills.
Summary of Essential Job Functions:
- Charting Software:
- Must handle medical billing meeting requirements of State and Federal Regulations, and Fairlawn Policies/Procedures;
- Work within our charting software for accounts receivable processing;
- Ensures that all billing is processed in a timely manner for proper reimbursement;
- Organize/maintain statistics relating to admissions, discharges, deaths, transfers & daily census.
- Processing Requirements:
- Manage all aspects of the Revenue Cycle;
- Coordinate and prepare billing setup;
- Coordinate monthly Triple Check process;
- Maintain accurate monthly billing for proper codes and diagnosis;
- Submit monthly electronic claims to Medicare/Medicaid, Managed Care and Insurance companies;
- Be accountable for monthly accounts receivable balances. Post cash within 24 hours of receipt.
- Accountabilities:
- Follow up on denied and/or rejected claims. Reconcile the claim and resubmit it until the claim is paid in full;
- Assist with month end closings;
- Communicates Collection of accounts that could be a problem. Make collection calls and send collection letters. Analyze Bad Debt & recommend write-offs;
- Maintains confidentiality and adheres to all HIPAA guidelines and regulations;
- Maintain current knowledge of billing regulations;
- Additional Duties:
- Obtain & submit all required documentation to follow nursing home Medicaid applications and renewals. Assist families throughout the Medicaid process and seeing the cases through to approval;
- Back up for Admissions process;
- Back up for Insurance Verifications;
- Oversee Resident Trust Accounts;
- In-Services, Training and Education: Attend and participate in scheduled training, in-services, and educational classes to maintain current certification as mandated by Fairlawn Haven and State of Ohio.
Secondary Job Functions or Responsibilities:
- Attend all stand up meetings daily;
- Answers telephone as a backup to the receptionist if needed;
- Participate in weekly rehab therapy meetings;
- Ensures that customers and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the residents needs and rights;
- Work cooperatively with the clinical aspects of billing.
Other duties as assigned: Perform additional tasks as requested.
Minimum Requirements:
- A minimum of an Associate’s Degree is preferred but not required;
- Accountable for results and reduction of A/R;
- Demonstrate the ability and willingness to work harmoniously with all personnel;
- Must be able to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public;
- Must have patience, cheerful disposition, and enthusiasm handling difficult situations;
- Medical terminology is required;
- Knowledge of coding and filing systems is required;
- Must be accurate, organized, and be detail oriented.
Abilities Required:
- Must be knowledgeable of the processes and able to be responsible/accountable for follow-up of all tasks;
- Must be comfortable in addressing residents/families to discuss and explain financial obligations;
- High level of computer skills is necessary;
- Must have excellent knowledge of rules of grammar, spelling, and punctuation;
- This position requires that the employee is able to read, write, speak and understand the spoken English language to ensure the safety and well-being of our residents and visitors at the work site when responding to their medical and physical needs;
- Must be able to push, pull move and/or lift supplies and equipment Max. over 50 lbs.
APPLY AT www.fairlawnarchbold.com clicking on Careers and include a resume. Any phone questions direct to Nona Rupp, HR Director at 567-444-5090.