Medicare Coordinator
1 week ago
Full Time Days, 8am-4pm
Masonic Villages of Pennsylvania - Elizabethtown Campus - is immediately hiring for a Medicare Coordinator (Part A).
With over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assist individuals in realizing their potential and enjoying the highest possible quality of life.
Why Choose Masonic Villages:
Each campus is supported by corporate leaders who are fully invested in our Mission of Love and hiring like-minded individuals who are committed to providing heartfelt customer service and contributing to our team environment. When you join our team, you can expect:
- Industry-leading benefits such as $0 cost medical coverage option ***
- Vacation Time/Flex Time and Paid Holidays ***
- Pay on-demand. Access to a portion of your earned wages in real-time.
- Discounted Grocery gift cards
- Tuition and Educational Reimbursement ***
- Discounts for onsite Daycare
- Free Gym and Pool Membership ***
- Paid Lunch ***
- Discounted tickets for movies, theme parks, hotels, and MORE
- Shoe discounts
- Cell phone discounts
- Weekend differentials and additional shift differentials
- Employer matched Retirement Savings with free financial planning ***
- A commitment to growing our leaders with leadership & mentorship programs available
As a Medicare Coordinator (Part A), you will carry out our Mission of Love by being responsible for verification of insurance benefits, and billing and collections from Medicare and Managed Care.
Our Medicare Coordinator (Part A) is responsible for the following:
- Knowledge of Centers for Medicare and Medicaid Services (CMS) insurance regulations, generally accepted accounting principles, regulations governing resident personal care accounts, and other governmental or industry regulations applicable to Masonic Villages' operations, as appropriate.
- Demonstrated ability to communicate on issues affecting position's responsibilities. Communication may include identification and documentation of issue, gathering of information, and development of an action plan. Communication may include written reports or schedules, and oral presentations.
- Review and process daily census changes for locations as assigned.
- Responsible to verify insurance benefits and communicate the information to appropriate staff.
- Responsible for preparing, reviewing and submission of the bills for Medicare and Managed Care for all locations as assigned, in accordance with consolidated billing regulations.
- Responsible for posting cash and collections of Medicare, Managed Care, Commercial, and Coinsurance receivables as assigned.
- Review receivable balances monthly. Research and resolve unpaid claims, including write offs as appropriate.
- Serve as point of contact for Case Management Teams; verify and communicate Medicare and Managed Care payor information to appropriate staff.
- Responsible for monitoring changes in Medicare regulations and assisting with educating staff and implementing necessary changes.
- Participate in "stand up meetings" and serve as a liaison with the clinical staff concerning Part A billing issues.
- Maintain Part A Days Logs, SNF denial letters and ABN's, and Cost Report spreadsheets. Provide payor info to outside providers for lab, radiology, etc. and enter approximate ancillary charges to billing system.
- Understanding of Health Insurance Coverage & Billing. Experience with Point Click Care software preferred.
- Associate degree in Accounting preferred or minimum of two years' accounting experience.
- Two years experience in Medicare billing for skilled nursing facility. Knowledge of the UB04 form and Medicare regulations and associated websites.
- Computer experience required. PC experience with Microsoft Word, Excel or other spreadsheet software required.
- Working knowledge of clerical/billing audit.
We are proud to be an equal opportunity employer.
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