OPCO Skilled Management -
This position is remote
Job Type : Full-Time
Your Job
The Medicare Specialist will be responsible for billing facility Medicare claims and following up until payment is obtained to ensure timely filing is achieved.
Provides ongoing support to Regional AR staff, BOM and ABOM in the areas of billing, claims, eligibility and authorization process for all payer types, such as Medicaid, Medicare, Managed Care, etc.
Your Qualifications
- Experience in nursing home billing for Medicaid, Medicare and Insurance preferred
- Experience with payer portals preferred
- Proficient computer skills
- Well organized and able to multitask
- Attention to detail
- At least 5 years of experience of Medicare billing experience.
Your Responsibilities
- Review census and bill assigned facility Medicare claims electronically.
- Track all unbillable dates of service by residents until claim is billed.
- Follow up on claims weekly to identify status.
- Resolve any issues by resubmitting, adjusting or appealing any claims denied.
- Call payer representative if any claims are in a pending status more than 10 days.
- Report any delays to the Senior Medicare Specialist.
- Secondary billing may be required.
- Work all balances on the aging daily by auditing the account to determine action required.
- Once identified, adjust or appeal the claim, input detailed information in PCC notes.
- Report weekly to the Senior Medicare Specialist the dates of service still outstanding with a detailed explanation of the issue.
- Build repour with facility staff to obtain any necessary information needed to ensure collection goals are met.
- Ensure compliance with all State and Federal laws in relation to your position.
- Adherence to the Organization’s Compliance Plan and Code of Ethics.
- Retrieve and post all Medicare remits daily.
- May occasionally assist with Insurance / Medicaid billing and cash posting.
Reimbursement Specialist (Medicare)
...
Medicare Sales Specialist
Medicare Sales Specialist Position Summary A leading provider of Medicare solutions, dedicated to offering tailored healthcare products that address the unique needs of each client, is seeking a passionate and knowledgeable Medicare Sales Specialist to join their team. In this position, you will pla...
Medicare Specialist
The Medicare Specialist will be responsible for billing facility Medicare claims and following up until payment is obtained to ensure timely filing is achieved. Report any delays to the Senior Medicare Specialist. Report weekly to the Senior Medicare Specialist the dates of service still outstanding...
Claims Data Reporting Specialist
The Claims Data Reporting Specialist is responsible for supporting the Claims organization by identifying opportunities to improve efficiency and effectiveness within specialized claims lines. Claims Data Reporting Specialist. Collaborates with Claims and Actuarial leadership teams to coordinate com...
Bilingual Customer Service Specialist (Spanish)
Customer Service Specialists are tasked with achieving excellent customer service, while consistently meeting the store's sales goals. Customer Service Specialists work closely with wholesale and retail customers to determine their needs, answer their questions about Sherwin-Williams products, and r...
Tax Specialist - Tax Compliance Officer (tco) - Direct Hire (12 Month Register)
Tax Exempt and Government Entities, Exempt Organizations and Government Entities, Examinations, Compliance and Review. Identifies issues to be pursued based on large, unusual or questionable items that produce a significant tax or compliance effect and utilizes the tax law and facts needed to resolv...
Collections Specialist - Legal
Hybrid opportunity! Are you an individual who demonstrates exceptional drive and exhibits a strong passion for collections? Our client, a world-class global law firm, is seeking a motivated and determined Collections Specialist to join their team in Houston, Austin or Dallas TX. If you are a highly ...
MASTER PROFILE - Administrative Assistant/Compliance Specialist
Portrait of an ABC Administrative Assistant/ Compliance Specialist * Familiar with and comfortable working on computers. ...
Receptionist
Why join Austin Retina Associates?.Competitive market pay including pay and annual pay reviews.Company paid health insurance, life insurance, dental, vision, Employee Assistance Program (EAP), employer paid 401(k) contribution up to 3% with no employee contribution required.Gym membership discounts,...
Bilingual Medical Collections Specialist
Bilingial Medical Collections Specialist. No collections experience required. ...