Medicare Coinsurance Biller

Medicare Coinsurance Biller

Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions.

Our more than 150 skilled nursing, assisted living, independent living, behavioral health and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across seven states (Ohio, Indiana, Maryland, Virginia, West Virginia, Pennsylvania, Missouri).

CommuniCare Health Services is currently recruiting a Medicare Coinsurance Biller for our Central Billing Office in Ohio. This position will work in our Blue Ash Office.

PURPOSE/BELIEF STATEMENT

The position of Medicare Coinsurance Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned, in addition to posting cash when needed. Ultimately they are responsible for hitting their cash collection goals each month and minimizing the impact of Bad Debt for the buildings/facilities assigned to them.

WHAT WE OFFER

As a CommuniCare employee you will enjoy competitive wages and PTO plans. We offer you a menu of benefit options from life and disability plans to medical, dental and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts. Qualified candidates, forward your resume for a chance to join the World Class team at CommuniCare

QUALIFICATIONS / EXPERIENCE REQUIREMENTS

• Knowledge of Medicare & Secondary Billing Guidelines
• Medicare experience preferred.
• SNF experience preferred.
• Previous experience billing various Medicare and Co-insurance companies and understanding the requirements for each payor
• Claims appeal/resolution expertise preferred
• 2 - 4 years advanced education beyond high school, or comparable work experience
• Strong verbal and written skills are required in order to interact with insurance companies to resolve unpaid claims via telephone and written correspondence
• Professional appearance and mannerisms
• Ability to work as part of a team
• Computer skills including, but not limited to Microsoft Word, Excel, and Outlook
• Knowledge of Point Click Care, Quadax and Availity preferred

JOB DUTIES & RESPONSIBILITIES

• As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance
• Daily cash posting per Cash Postings policy
• Follow-up on unpaid claims and document account within standard billing cycle time frame  (Medicare: 16 days after submission , Commercial/Medicaid Coinsurance: 14-21 days after submission)
• Identify and submit necessary rebilling for secondary / tertiary claims during follow-up
• Conduct account research and analysis
• Submission of write offs for uncollectable accounts
• Interact with facility staff to resolve outstanding issues
• Participate in monthly A/R reviews
• Participate in the month end close process.
• Other various duties as assigned

About Us

A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.

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