Central Business Office Biller SNF Job at Long Term Healthcare Corp
Bear Mountain Healthcare is Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, Private Billing and Masshealth Application Process.
Duties include:
- Review and bill out HMO/Insurance and Medicaid claims monthly.
- Work with families, attorney’s and Masshealth to get residents approved for Medicaid.
- Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines.
- Calculate, prepare, and issue bills, invoices, account statements and other financial records according to established procedures.
- Entering census data in Point Click software, such as new patient information, discharge, and any other census information.
- Ensure patient account information is updated in a timely manner, including all patient data and insurance information
- Send out private bills monthly, review, research and respond to all patient inquiries regarding patient accounts.
- Daily deposits and post cash to patient accounts.
- Ensure overpayments/refunds are appropriately processed and applied to patient accounts.
- Post ancillary billing invoices in billing software monthly.
- Experience with (RFMS) Resident Fund Management Services.
- Perform additional duties as assigned.
Requirements Include:
- 3-5 years’ experience in Billing and Collections in Skilled Nursing Facility.
- Experience with Point Click Care Software required.
- Candidates must be detail oriented with excellent computer skills.
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