Third Party Billing Specialist
4 weeks ago
At FellowshipLIFE, we're seeking a skilled Financial Operations Coordinator to join our dynamic finance team. As a key member of our team, you'll play a pivotal role in ensuring the financial health and seamless operations of our organization. Your expertise in managing billing processes with precision and efficiency will be essential to our daily operations.
Key Responsibilities:
Enter all charges for third-party monthly billing and post all payments.
Bill insurance companies, government programs, and other external entities monthly.
Participate in the Triple Check process with the interdisciplinary team.
Collaborate with the Billing Manager to maintain billing systems, manage updates for rates, contracts, revenue codes, collections, and more.
Manage and follow up on any denials or issues from billing.
Maintain electronic insurance files for residents, including doctor bills, insurance cards, explanations of benefits, and more.
Review insurance coverage on all perspective residents through insurance eligibility verification using Inovalon software.
Meet with residents to discuss any problems and concerns regarding health insurance coverage and explanations of benefits.
Inform residents of the appropriate time to pay outstanding balances after all insurance payments have been made.
Review ancillary bills to determine that residents/insurance carriers are being billed properly.
Gather room and board charges, pharmacy and medical supply, therapy, and other ancillary charges for each Medicare patient.
Produce UB-04 for third-party billing.
Check the status of claims and make all adjustments and corrections as needed.
Maintain electronic files on all billing remittances on a yearly basis.
Requirements:
Minimum of four (4) years of healthcare billing and collections experience required.
Medicare, Medicare Advantage, Commercial, and other Third-Party Billing experience required.
Proficiency in MS Excel, including the ability to operate computerized accounting and spreadsheet programs.
Knowledge of billing best practices and regulatory standards and compliance requirements.
Highly organized and detailed, with the ability to work in a fast-paced atmosphere.
Strong interpersonal skills to communicate with and respond effectively to the instructions and requests from a diverse group of clients/residents, visitors, and team members and to provide information with courtesy and tact.
Integrity and confidentiality in financial reporting.
$50,000 - $60,000 a year
EOE: FellowshipLIFE is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We support a work environment where diversity, integrity, and excellence are embraced, family is valued, and Fellowship Spirit is strengthened.
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