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Third-Party Billing Specialist
2 months ago
FellowshipLIFE is seeking a highly skilled and detail-oriented Third-Party Billing Specialist to join our dynamic finance team. As a key member of our team, you will play a pivotal role in ensuring the financial health and seamless operations of our organization.
Key Responsibilities- Enter all charges for third-party monthly billing and post all payments.
- Bill insurance companies, government programs, and other external entities monthly.
- Active participation in the Triple Check process with an interdisciplinary team.
- In collaboration with the Billing Manager, maintain billing systems, managing updates for rates, contracts, revenue codes, collections, etc.
- 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, etc.
- Review insurance coverage on all prospective 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.
- 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.
$55,000 - $65,000 a year
About FellowshipLIFEFellowshipLIFE is an equal opportunity employer. We support a work environment where diversity, integrity, and excellence are embraced, family is valued, and Fellowship Spirit is strengthened.
