Senior Healthcare Revenue Specialist
7 days ago
Casa De Las Campanas is a residential care facility that offers upscale resort-style living in the scenic area of Rancho Bernardo. Our team of dedicated professionals strives to improve the lives of seniors in our community on a daily basis.
Benefits- $35.00 - $42.00 per hour salary range
- No employee cost share for medical insurance
- Dental and Vision Insurance
- Now offering DailyPay
- An employee appreciation bonus, which is funded by our residents
- Life insurance
- Long-term disability insurance
- 403 (b) retirement plan with employer match
- Tuition reimbursement program
- PTO and paid holidays
- Pet insurance
- AFLAC
- Monthly Employee Engagement Activities
The Health Center Medical Billing Specialist shall be responsible for all aspects of Health Center Billing, including HMO and Medicare Billing, Accounts Receivable, and A/R Cash Receipts. They shall also provide backup assistance for other accounting staff.
Key Responsibilities:- Completes all Health Center billing, including HMO and Medicare is completed
- Meets daily with the HC Leadership team to review treatment plans and changes in financial status
- Monitors amended contracts and ensures proper billing rates
- Verification of Medicare days used
- Participates in the monthly triple-check process for Medicare Part A & B claims
- Participate in quarterly compliance meetings and ensure Health Center billings meet all Federal and State guidelines
- Reconciles the census at month end & notifies appropriate ancillary service providers that bill based on census levels
- Maintain separate files for Medicare remittances, hospice payments, Medicare denial letters, and monthly training on Noridian for changes
- Input appropriate billing codes into Vision
- Ensures accuracy of patient insurance before and throughout admission
- Ensures all records used for Accounts Receivable are complete and accurate
- Maintains contract files on Health Center residents
- Inputs Accounts Receivable information into the computer database
- Processes Accounts Receivable data and prepares billing statements, including an audit review, for distribution
- Prepares monthly Accounts Receivable reports and uses them for account analysis and timely follow-up of aging accounts
- Maintains McKesson software database relating to healthcare supplies
- Ensures the charge-capturing system continues to capture data
- Complete Medicare Credit Balance Report
- Communicates related accounting data with residents, staff, and others professionally and courteously
- Follows claims through Medicare audits and appeals to ensure prompt payment and any refunds are issued promptly
- Verifies that all HMO claims are received promptly via telephone or Internet
- Assist other departments including purchasing and admissions, MDS, and medical records to ensure a timely billing process
- Bill Medicare co-insurance when appropriate
- Verify all ancillary charges for accuracy and reasonableness, including oversight of central supplies billing
- Complete the check-off list for Medicare ADR (Additional Documentation Requests) in an organized manner
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