Accounts Receivable Specialist LTC Billing & Follow-up
Job Description
Facility: Administrative Regional Training Cntr
Shift: Shift 1
Status: Full Time FTE: 1.000000
Bargaining Unit: ACE Associates
Exempt from Overtime: Exempt: No
Work Schedule: Days
Hours:
8 am-4 pm
Summary:
The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care and Sub-Acute Rehab facilities.
The position will support the Nursing Home Long-Term Care and Sub-Acute facilities and responsibilities will include, but are not limited to, the following : (1) Review of all claims for accuracy (2) Review of all work lists or reports to identify errors or issues with billing and correct the issue for billing (3) Review and process all response files from electronic submissions and other relevant systems to perform accurate billing (4) Provide review of the first fourteen days of follow up on the claim to ensure proper receipt of the claim by the insurance company or State/Federal agency. A high level of customer service is expected in this role at Catholic Health.
Responsibilities:
EDUCATION
- High School diploma
- Graduate of a certificate program for Medical Billing Program preferred
- Long-Term Care Billing experience preferred
- Medicaid Billing experience preferred
- Demonstrates knowledge of third party billing procedures
- Knowledge of claims review and process
- Strong computer skills (MS Word and Excel preferred)
- Excellent written and oral communication skills
- Excellent organizational skills
- Ability to work well with others
- Dependable in both production and attendance
- Self-Motivated
WORKING CONDITIONS
- Normal heat, light space, and safe working environment; typical of most office jobs
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