Benefits Liaison

4 weeks ago

Ottawa, United States La Salle County Nursing Home Full time

**Essential Duties and Responsibilities**:
**The primary purpose of your position is to process and submit medical insurance claims, consistently following up on unpaid claims utilizing monthly aging reports and filing appeals when necessary to enhance maximum reimbursement.**
- **Verify all patient demographics, guarantor, and insurance information.**:

- **Ensure pre-admission and post-admission Medicaid and Medicare benefits **are **in place or initiated until complete.**:

- **Make necessary arrangements for medical records requests, completion of additional information requests, etc. as mandated by insurance companies.**:

- **Respond to inquiries from insurance companies, residents/ patients**, **and providers.**:

- **Meet with **the **administrator consistently to discuss and resolve reimbursement issues.**:

- **Read and interpret insurance explanations of benefits.**:

- **Verify medical benefits eligibility with insurance companies before individuals become residents in the facility.**:

- **Obtain and continue to obtain approvals from out-of-network insurance companies.**:

- **Convert outsourced vendor bills to billable units.**:

- **Attend Medicare, staff meetings, and continuing educational sessions as requested.**:

- **Coordinate with **the **therapy department regarding new residents, billing changes, and minutes.**:

- **Work closely with **the **MDS Coordinator to ensure proper billing procedures.**:

- **Establish a working relationship with **the **Financial Officer and coordinate efforts on accounts shared.**:

- **Work with the admission team on new resident financial information to ensure that all proper paperwork is in place, including the verification of insurance benefits.**:

- **Adhere to completing tasks on a timely basis and meeting deadlines.**:

- **Adhere to company standards of compliance with policies and procedures.**:

- **Perform additional duties as requested by **the **administrator and management team.**:

- **Performs all job tasks within the rules and guidelines of the County’s Safety Policy and Procedure Manual**

Pay: From $41,000.00 per year

**Benefits**:

- Dental insurance
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

Ability to Commute:

- Ottawa, IL 61350 (required)

Ability to Relocate:

- Ottawa, IL 61350: Relocate before starting work (required)

Work Location: In person

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