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Medicare, A/R Billing Specialist
Job Opportunity at
Corporate Resources, LLC
Posted on Jan 10
This position is with a company that owns and operates many Long Term Care facilities throughout the Midwest. This position will be in Cincinnati, Ohio.
Major Accountabilities and Supporting Actions
Verify receipt of monthly triple check forms and audit for accuracy per triple check policy prior to claims submission.
Review of Medicare A, Medicare A No Pays, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission per Medicare billing guidelines.
Submission of Medicare Advantage Copy claims.
Daily cash posting of Medicare remittance advices
Follow-up on unpaid claims and document account within standard billing cycle time frame (16 days after submission).
As Medicare payment occurs, identify and submit billing for secondary claims that do not automatically crossover to secondary insurance.
Monitor for and report Medicare additional development requests (ADR’s) per process guidelines.
Conduct account research and analysis.
Submission of write offs for uncollectable accounts.
Identify and create batches for necessary billing adjustments.
Accurately prepare and maintain various reports to include: Monthly Cash Report & Shortage Explanation, Triple Check Audit, Credit Balance Report.
Interact with facility staff to resolve outstanding issues.
Participate in monthly A/R reviews.
Participate in the month end close process.
Knowledge of Medicare Billing Guidelines
1 – 2 years previous billing experience
2 - 4 years advanced education beyond high school, or comparable work experience
POINT-CLICK-CARE IS A MUST
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