Healthcare Billing Accountant

4 days ago

Forest Hills, United States HealthCare Talent Full time

Position: Healthcare Billing Accountant (HBA)



Pay: $21 -23/hour



SUMMARY
Under the direction of the Accounting Manager, the Healthcare Billing Accountant (HBA) will oversee the Medicaid portion of the revenue cycle by analyzing and auditing various Medicaid reports. The HBA is also responsible for receiving Medicaid enrollment documentation, generating invoices, processing cash receipts, and monitoring and reconciling accounts receivable at a participant level for all participants. The HBA will ensure that is paid accurately for the participants’ level of Medicaid and that their benefits are coordinated accordingly. The HBA possesses the necessary technical and interpersonal skills to efficiently and effectively support the Finance Department and the goals and objectives of the program.

ESSENTIAL DUTIES AND RESPONSIBILITIES
Under general direction and in accordance with all applicable federal, state and local laws/regulations and policies, procedures and guidelines, this position includes the following:
1. Establishes, organizes, and maintains a system that will provide a functional structure of all participant files received within the Finance Department, using available technology and other supports.
2. Performs audits and reconciliations on various government reports according to finance policies and procedures (ex 820).
3. Conducts Finance orientations for staff.
4. Communicates orally, in writing, and in-person with CMS (Centers for Medicare and Medicaid Services) staff, OLTL (Office of Long-Term Living) staff, CAO (County Assistance Office) staff, staff, participants/families and others regarding outstanding balances, discrepancies and other account issues.
5. Processes all enrollments and disenrollments within the accounting system according to finance policies and procedures.
6. Performs accurate Medicaid, Nursing Facility Patient Pay (NFPP,) and Private Pay invoice and payment processing in the Accounts Receivable sub-ledger of the accounting system on a timely basis, according to finance policies and procedures.
7. Reconciles patient pay and private pay invoices accurately and on a timely basis, according to finance policies and procedures.
8. Generate correspondence (written and oral) to internal staff, participants and/or their families regarding unpaid account balances.
9. Reviews Accounts Receivable balances, researches invoice adjustments, and proposes appropriate write-offs, cash reallocations and required journal entries with supporting documentation.
10. Acts as a backup to the Senior Healthcare Billing Accountant (SHBA) as needed.
11. Assists in preparing documents needed for CMS, financial and other audits as required.



12. Will make suggestions to finance director/accounting manager regarding policy and procedure updates with current finance processes.
13. Actively participates in quality improvement to transform work processes and outcomes in support of the values, policies and all regulatory requirements.

GENERAL RESPONSIBILITIES
1. Knows and adheres to the philosophy and goals of the program.
2. Ensures that services are delivered in a manner adhering to the philosophy, mission, and intent of the Program of All-Inclusive Care for the Elderly.
3. Maintains a quiet and safe environment for participants, visitors, and staff.
4. Keeps records, reports and discussions of enrolled and potential participants confidential.
5. Participates in the formulation and maintenance of policies and procedures.
6. Participates in committees as requested.
7. Maintains flexibility in schedule and responds to unexpected emergencies, changes in workload and vacation coverage in order to fill responsibilities.
8. Utilizes supplies and equipment economically.
9. Identifies service delivery problems and uses good judgment in their resolution.
10. Always maintains a professional appearance and manner.
11. May serve as a role model for students and staff.
12. Pursues professional growth through the continuing education process.
13. Performs other duties as required.



MINIMUM QUALIFICATIONS
A. Required Education: High School Diploma or Equivalent Required; Bachelor’s Degree in Accounting or Finance is desirable.

B. Required Experience:
Two years accounts receivable experience preferably in a healthcare environment (Experience requirement waived for a Bachelor Degree in Accounting or Finance).

C. Required Skills:
• Detailed Oriented
• Good Organization Skills
• Good Communication Skills
• Team / Customer Oriented
• Competency in Microsoft Office, Specifically Excel

D. Required Certifications/Licensure: N/A


E. Desired or Preferred Knowledge, Skills and/or Abilities:
• Knowledge of accounting practices and procedures.
• Knowledge of Medicaid
• Experience in Skilled Nursing Facility Billing
• Experience reviewing PA 162 Forms
• Experience using the Promise System
• Experience using CMS MARX and HPMS systems
• Experience using Sage 100c
• Appreciate working with the frail elderly



  • Client Billing Representative

    5 days ago

    Forest Hills, United States Bleuler Psychotherapy Center Full time

    RESPONSIBILITIES: - Ensure that accurate billing is managed for services rendered by the facility. - Audit billing to ensure accuracy and identify any irregularities. - Run Medicaid/Medicare eligibility via E-paces. - Assist with billing activities such as reviewing sessions in claim maintenance, checking open balances and rejections/denials. In the event...

  • Medical Billing

    4 weeks ago

    Forest Hills, United States Interventional & Alternative Spine and Wellness Full time

    Job DescriptionJob DescriptionAccounts Receivable Specialist- Medical Billing Job Description Follow up on outstanding or rejected insurance claims with the insurance providers as well as coordinate with medical records to gather any additional information that the insurance providers request. Job Duties:• Follow-up on all outstanding insurance claims,...

  • Accounts Receivable Specialist

    2 weeks ago

    Woodland Hills, United States Physicians' Choice, LLC Full time

    Perform follow up on delinquent claims from insurance payers, including filing of appeals - Review and resolve clearinghouse rejections and edits to ensure release of clean claims - Handle correspondence from insurance payers and patients - Receive incoming patient phone calls - assist with account updates and any issues as needed - Work collaboratively with...

  • Medical Biller and Accountant

    4 weeks ago

    Forest Hills, United States Cross Country Workforce Solutions Group Full time

    Job DescriptionJob DescriptionPosition Summary SUMMARYUnder the direction of the Accounting Manager, the Healthcare Billing Accountant (HBA) will oversee the Medicaid portion of the revenue cycle by analyzing and auditing various Medicaid reports. The HBA is also responsible for receiving Medicaid enrollment documentation, generating invoices, processing...

  • Medical Biller and Accountant

    4 weeks ago

    Forest Hills, United States Cross Country Workforce Solutions Group Full time

    Job DescriptionJob DescriptionPosition Summary SUMMARYUnder the direction of the Accounting Manager, the Healthcare Billing Accountant (HBA) will oversee the Medicaid portion of the revenue cycle by analyzing and auditing various Medicaid reports. The HBA is also responsible for receiving Medicaid enrollment documentation, generating invoices, processing...

  • Billing Clerk

    4 weeks ago

    Forest Park, United States PDS Transportation Full time

    This position requires effective communication with internal stakeholders and external vendors to resolve any invoice-related issues. Must be highly detail-oriented with the ability to handle multiple tasks in a fast-paced environment. Responsibilities include but are not limited to - Posting daily sales into the accounting system, ensuring proper coding...

  • Accounts Receivable

    2 weeks ago

    Forest Hills, New York, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionLHH Recruitment Solutions is seeking an Accounts Receivable Supervisor to work in the Property Management/Real Estate industry in the Queens, NY area.This is an excellent opportunity for a qualified Accounts Receivable professional to join a growing organization.Position Summary:The Accounts Receivable Supervisor is responsible...

  • Healthcare Administrative Assistant

    3 weeks ago

    Lake Forest, United States Alteas Health Full time

    At Alteas Health, we believe in empowering our team members to thrive both personally and professionally. We offer a supportive work environment where innovation and compassion are at the core of everything we do. Do you consider yourself an innovative thinker with integrity and humility? Are you often described as compassionate or resilient? **_Alteas...

  • Billing Clerk

    4 weeks ago

    Forest Park, United States Weinstein Wholesale Meats Full time

    Job DescriptionJob DescriptionThe primary responsibility of the Billing Clerk is to process and manage invoices, ensuring they are properly documented and recorded. This position requires effective communication with internal stakeholders and external vendors to resolve any invoice-related issues.Must be highly detail-oriented with the ability to handle...

  • Healthcare Account Manager

    4 weeks ago

    Auburn Hills, United States United IT Solutions Full time

    Job Title: The Healthcare Account Manager Location: Auburn Hills, MI (Hybrid) The Healthcare Account Manager/Sales is dedicated to enhancing client relationships in the Clinical Operations and Healthcare Management areas of our established Payer clients. This role involves uncovering opportunities to expand our reach within assigned clients, promptly...

  • Healthcare Account Manager

    4 weeks ago

    Auburn Hills, United States United IT Solutions Full time

    Job Title: The Healthcare Account Manager Location: Auburn Hills, MI (Hybrid) The Healthcare Account Manager/Sales is dedicated to enhancing client relationships in the Clinical Operations and Healthcare Management areas of our established Payer clients. This role involves uncovering opportunities to expand our reach within assigned clients, promptly...

  • Healthcare Account Manager

    3 weeks ago

    Auburn Hills, United States United IT Solutions Full time

    Job Title: The Healthcare Account Manager Do you have the skills to fill this role Read the complete details below, and make your application today. Location: Auburn Hills, MI (Hybrid) The Healthcare Account Manager/Sales is dedicated to enhancing client relationships in the Clinical Operations and Healthcare Management areas of our established Payer...

  • Billing Advocate Associate

    3 weeks ago

    Wellesley Hills, United States Sun Life Full time

    You are as unique as your background, experience and point of view. Here, you’ll be encouraged, empowered and challenged to be your best self. You'll work with dynamic colleagues - experts in their fields - who are eager to share their knowledge with you. Your leaders will inspire and help you reach your potential and soar to new heights. Every day, you'll...

  • Healthcare Account Manager

    4 weeks ago

    Auburn Hills, United States United IT Solutions Full time

    Job Title: The Healthcare Account Manager Location: Auburn Hills, MI (Hybrid) The Healthcare Account Manager /Sales is dedicated to enhancing client relationships in the Clinical Operations and Healthcare Management areas of our established Payer clients. This role involve...

  • Billing Specialist

    3 days ago

    Oak Forest, United States Maya Medical Centers SC Full time

    **Direct Report**: Medical Home Manager/Clinician Lead **Summary of Duties**:Performs vital administrative tasks for urgent care center. **Essential Functions**: - Exudes excellent communication and coordination among the Care Team. - Assures accurate coding, timely billing cycles, and accounts receivables. - Posts and processes insurance company payments...

  • Billing Specialist

    3 weeks ago

    Beverly Hills, United States Physical Therapy Specialists Of Beverly Hills Full time

    Overview: **Physical Therapy Specialist**, a member of the Confluent Health family, is looking for a Full Time Billing Specialist to join our team!** At** **Physical Therapy Specialist** **you’ll find an amazing culture because we want our employees to love coming to work and do what they love - helping our patients get back to their everyday lives. We...

  • Billing Specialist

    2 weeks ago

    Beverly Hills, United States Physical Therapy Specialists Of Beverly Hills Full time

    Overview: **Physical Therapy Specialist**, a member of the Confluent Health family, is looking for a Full Time On Site Billing Specialist to join our team!** At** **Physical Therapy Specialist** **you’ll find an amazing culture because we want our employees to love coming to work and do what they love - helping our patients get back to their everyday...

  • Medical Billing Manager Wound Care

    3 weeks ago

    Beverly Hills, United States Dr. MobiCare Full time

    **Job Summary** Seeking Billing and Credentialing Specialist to join our team! Responsible for credentialing new and current providers with Medicare, Medi-Cal and all other Insurance Plans, assisting with billing functions to obtain revenue and payment including maintaining account receivable reports according to our policy and procedure...

  • Billing Specialist

    2 weeks ago

    Auburn Hills, United States advanced dynamics corp Full time

    Job Description OBJECTIVE The Billing Specialist has versatile accounting skills, enjoys task variety, and is a good communicator. This position is located in the Auburn Hills Corporate Office. Offers a competitive wage, excellent benefits, and a work environment that values a positive attitude, loyalty, drive, integrity, and humility. KEY ACCOUNTABILITIES...

  • Billing Analyst

    1 week ago

    Auburn Hills, United States MERSINO DEWATERING LLC Full time

    Job DescriptionJob DescriptionMersino is an established and growing competitor in the construction dewatering and pumping industry. Founded in 1988, we pursue those projects requiring a high level of expertise and professionalism, throughout the country. Mersino is seeking a detail oriented and analytical person to join our team as a Billing Analyst. The...