Medical Biller

• Coordinate accumulation of information with various departments; post to resident accounts.
• Review charges for accuracy, completeness, consistency and payers charged.
• Prepare and timely issue accurate billing statements to the correct payer using electronic systems provided.
• Monitor all submissions on a daily basis to address any denials or requests for additional information (ADRs).
• Coordinate with all departments and submit ADR information within 10 days of receipt of request.

• Follow up on unpaid claims/denials within company standard billing cycle timeframes; Determine reasons for denial. Correct claims and Re-bill when required.
• Document all communications and collection attempts, taking follow up action in accordance with established policies and procedures.
• Provide needed supporting documentation to payer upon request in a timely manner.
• Maintain A/R Aging levels for assigned accounts within company guidelines.
• Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
• Process claim reclassification to private accounts upon approval from management.
• Process bad debts in a timely fashion when claims are determined to be uncollectable. Document all reasons for uncollectability and efforts in the process.

• Apply Third Party payments daily including checks, wire transfers, EFT payments, other bank deposits, cash and credit card payments. Confirm completeness and accuracy of payment information to the residents' accounts.

• Establish good relationships with all third party payers with professional communications.
• Efficiently conduct inquiries and analysis for resolution of discrepancies.

• Adhere to the policies and procedures of the business with the highest practical standards
• Participate in and maintain current status on all training and education required by the company
• Communicate effectively with all members of the staff and business partners
• Provide feedback to others for continuous quality improvement of the entire organization
• Openly accept feedback from others for the continuous quality improvement of the entire organization
• Escalate issues when there is appearance that business standards of quality are not present
• Comply with all rules and regulations of the organization, including HIPAA and safety
• Perform other duties as assigned

• Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care and Insurance Companies with track record of successful collections
• One or more years of experience working in a high-volume, short-term rehab environment
• Knowledge of billing and related software preferred and/or experience with similar software
• Proficiency with Microsoft Office and ability to learn company IT systems

• MatrixCare/Answers on Demand and Ability experience is a plus

• Strong communication, interpersonal and organizational skills
• Detail orientation
• Ability to manage multiple priorities
• Discretionary judgment
• Ability to work independently and as part of a team

• Ability to read, write and speak English proficiently

Limitlessli