COORDINATOR 2 MEDICARE/MEDICAID COLLECTIONS

1 month ago


FL United States Vitas Healthcare Full time
* Enter admission and claims information into system.
* Review Medicare accounts for necessary information required.
* Respond to technical help letters.
* Review and make all necessary corrections and adjustment to claims.
* Review Medicaid admissions daily for eligibility and third party payer information.
* Review Medicaid Pending Report on a regular basis and perform any necessary follow up.
* Prepare accurate billings and submit to the appropriate state Medicaid System using electronic claims submissions when possible.
* Contact teams and medical records to obtain information as needed.
* Analyze and maintain required documentation for prompt and accurate billing and collection
* Review Billing and Collections reports for unbilled claims and bill as appropriate.
* Communicate with appropriate state agency, as needed.
* Perform timely account follow up activity and review and correct claims that have been denied or suspended on weekly Medicaid Remittance.
* Review and make all necessary corrections and adjustments to billing including posting applied income amounts and changing financial class when appropriate.
* Review Aged Trial Balance Report (ATB) on a regular basis to monitor collection progress and locate any possible problem areas.
* Work with Hospices to obtain Medicaid Numbers for patients that are in any Medicaid Pending category.
* Recommend and forward uncollectible accounts to your supervisor for final review.
* Assist department management as needed.
* Performs related duties as required. This position description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.

QUALIFICATIONS

* Three to five years prior office experience
* Proficient in MS Word, Outlook, and Excel
* Good math, typing and communication skills
* Ability to work on various assignments simultaneously

EDUCATION

* Completion of high school or basic education equivalency preferred.

SPECIAL INSTRUCTIONS TO CANDIDATES

* EOE/AA M/F/D/V

  • Ravenel, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Goose Creek, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Charleston Afb, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Isle of Palms, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Mount Pleasant, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Folly Beach, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Sullivans Island, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Johns Island, SC, United States Interim HealthCare Staffing Full time

     Medicare/Medicaid Billing SpecialistSeeking a skilled individual to oversee all aspects of patient billing and collections in our Home Health and Hospice departments. Responsibilities include performing billing functions, ensuring timely authorizations/re-authorizations, processing payments, managing collections, and conducting follow-ups. Additionally,...


  • Miami, FL, United States Leon Health Full time

    Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...


  • Miami, FL, United States Leon Health Full time

    Utilization Management Coordinator (RN)Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing all...


  • Miami, FL, United States Leon Health Full time

    Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing...


  • Miami, FL, United States Leon Health Full time

    Utilization Management Coordinator (RN) Under the general supervision of the Director of Health Services, the position is responsible for appropriately and successfully executing clinical and administrative health plan denials in accordance with regulatory guidelines and plan policies. ESSENTIAL DUTIES AND RESPONSIBILITIES 1. Is responsible for managing...

  • MDS Coordinator

    3 weeks ago


    Tavares, FL, United States Solaris HealthCare Waterman Full time

    #2024**This position is a Lead position, Monday through Friday and no on call**Position Summary:The MDS Coordinator will assist the Director of Nursing with ensuring that all documentation in the center meets Federal, State, and Certification guidelines. The MDS Coordinator will coordinate the entire RAI process assuring the accuracy, timeliness, and...

  • MDS Coordinator

    2 days ago


    Tavares, FL, United States Solaris HealthCare Waterman Full time

    #2024**This position is a Lead position, Monday through Friday and no on call**Position Summary:The MDS Coordinator will assist the Director of Nursing with ensuring that all documentation in the center meets Federal, State, and Certification guidelines. The MDS Coordinator will coordinate the entire RAI process assuring the accuracy, timeliness, and...

  • MDS Coordinator

    6 days ago


    Naples, FL, United States Solaris HealthCare Full time

    MDS Coordinator (RN) - MDS experience requiredWe are a 4 STAR RATED FACILITY! #2024 IMMEDIATE NEED: FT MDS COORDINATOR-MUST LIVE IN SW FL Solaris Healthcare strongly believes in the benefits of the COVID-19 vaccine for both staff and resident safety, and peace of mind. We are actively looking for compassionate people to become part of our #SolarisStrong...

  • MDS Coordinator

    2 days ago


    Naples, FL, United States Solaris HealthCare Full time

    MDS Coordinator (RN) - MDS experience requiredWe are a 4 STAR RATED FACILITY! #2024 IMMEDIATE NEED: FT MDS COORDINATOR-MUST LIVE IN SW FL Solaris Healthcare strongly believes in the benefits of the COVID-19 vaccine for both staff and resident safety, and peace of mind. We are actively looking for compassionate people to become part of our #SolarisStrong...


  • Jacksonville, FL, United States Sentara Full time

    Work Shift First (Days) (United States of America) Sentara Health is seeking to hire a qualified individual to join our team as a Medical Director, Medicare. Position Status : Full-time. Possible opportunity for flexible work schedule (Hybrid). Position Summary : Responsible for providing clinical leadership within Sentara Health Plans, aligned...

  • MDS Coordinator

    2 days ago


    Naples, FL, United States Solaris HealthCare North Naples Full time

    We are a 4 STAR RATED FACILITY!:#2024:IMMEDIATE NEED: FT MDS COORDINATOR-MUST LIVE IN SW FL:Solaris Healthcare strongly believes in the benefits of the COVID-19 vaccine for both staff and resident safety, and peace of mind. We are actively looking for compassionate people to become part of our #SolarisStrong family who are currently vaccinated or willing to...


  • , NY, United States VNS Health Full time

    OverviewResolves grievances, appeals and external reviews for one of the following VNS Health Plans product lines – Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined...


  • Baltimore, MD, United States FutureCare Health Full time

    RN MDS/PPS Coordinator (RNAC)Overview At FutureCare our MDS/PPS Coordinators are part of our interdisciplinary team of nurses who play a vital role in adequately collecting and assessing data on our residents to ensure specific elements are encoded in the MDS and submitted to the Centers for Medicare and Medicaid Services. Voted 12 years in a row in The...