Job Description

  Key Areas of Responsibility:

• Review of Receivables on Facility Contracts coming up for Renewal
• Pre-Verification on the payer types of Governmental Agency or Private Industry
• Pre-Verification on all Stand By accounts
• Review transports that missed initial Facility edits but meet the Facility contract criteria therefore, may be billable to the Facility
• Prepare billings both Daily and Monthly for Hospitals, Nursing Homes, Private Industry, Governmental Agencies, and Van Transports
• Facility Deposits – Posting payments and reconciling
• Payment Review of Unacceptable or Questionable Payments
• Review Overpayments and Processing of Refunds to Facilities
• Inbound calls relating to Facilities
• Correspondence relating to Facilities
• Prepare monthly Reports for Administration Review

  Qualifications:

• 2+ years of facility contract billing/management, or 3 or more years of Medical Billing experience
• Intermediate knowledge of Microsoft Word and Excel
• Attention to detail and strong organizational skills
• Positive communication and customer service skills
• Understanding of   Centers for Medicare & Medicaid Services regulations including but not limited to the SNF Consolidated Billing Act, PPS, Hospital Part-A Billing Requirements
• Ability to adhere to productivity goals and departmental guidelines
• Demonstrate a strong work ethic and work independently

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