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Medicare Biller
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Medicare BillerThe CommuniCare Family of Companies currently owns/manages over 100 World-Class Nursing and Rehabilitation Centers, Specialty Care Centers, and Assisted Living Communities throughout Ohio, Missouri, Pennsylvania, Indiana, West Virginia, Virginia, and Maryland. Since 1984, CommuniCare Health Services has provided superior, comprehensive management services for the development and management of adult living communities.CommuniCare Health Services is currently recruiting a Medicare Biller for our Central Billing Office in Cincinnati, OH.Purpose/Belief StatementThe position of Medicare Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them.What We OfferAs a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Qualified candidates, forward your resume for a chance to join the World Class team at CommuniCareQualifications / Experience RequirementsKnowledge of Medicare & Secondary Billing GuidelinesPrevious experience billing various Medicare and Co-insurance companies and understanding the requirements for each payorClaims appeal/resolution expertise preferred2 - 4 years advanced education beyond high school, or comparable work experienceStrong verbal and written skills are required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondenceProfessional appearance and mannerismsAbility to work as part of a teamComputer skills including, but not limited to Microsoft Word, Excel, and OutlookKnowledge of Medicare DDE, Point Click Care and Quadax preferredJob Duties & ResponsibilitiesVerify receipt of monthly triple check forms and audit for accuracy per triple check policy prior to claims submissionReview of Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare, Commercial, and Medicaid billing guidelinesSubmission of Medicare Advantage Copy claimsAs Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insuranceDaily cash posting of Medicare and Secondary payments per Cash Postings policyFollow-up on unpaid claims and document account within standard billing cycle time frame (Medicare: 16 days after submission , Commercial/Medicaid Coinsurance: 14-21 days after submission)Monitor for and report Medicare additional development requests (ADR's) per process guidelinesIdentify and submit necessary rebilling for secondary / tertiary claims during follow-upConduct account research and analysisSubmission of write offs for uncollectable accountsIdentify and create batches for necessary billing adjustmentsInteract with facility staff to resolve outstanding issuesParticipate in monthly A/R reviewsParticipate in the month end close process.Other various duties as assignedAbout UsA family-owned company, we have grown to become one of the nation's largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have 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 hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.
