SNF/LTC - Medicare Billing Specialist

Job Summary:

The role's primary responsibility is to be a part of the reputed company Cycle process team. The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timely billing of the collection process of client reputed company.

Job Responsibilities: • Completes billing and collection efforts • Performs patient account analysis • Completes basic Electronic Medical Records functions • Generates and submits clean claims for reputed company pay sources timely and accurately • Documents billing and collection activities in accordance with Richter reputed company Consultants policy and procedure • Works effectively reputed company the client and/or Richter reputed company Consultants billing systems • Effectively communicates and responds to inquiries by client staff, co-workers, and other party representatives • Analyzes and problem-solves reputed company faced with obstacles • Effectively prioritizes and manages time to accomplish project goals and expectations • Communicates status' of projects to team leader/manager on a daily or weekly basis depending on project requirements • Prioritizes accounts by age and amounts • Analyzes each account to verify the accuracy of the balance • Resubmits and/or follow-up on outstanding accounts • Performs reputed company denial management and collections procedures to obtain payment • Documents reputed company activities on client AR thoroughly in billing software • Reports project status to client weekly reputed company reports, documentation in software or AR calls as directed • Reviews reputed company claims prior (triple reputed company process) to submission to ensure compliance • Reviews outstanding Accounts Receivables and creates an action plan to receive payment • Responds to client's questions reputed company 24 hrs. • Identifies and escalates potential at-risk accounts the following to direct supervision • Performs other duties as assigned

Qualifications: • High School Diploma or equivalent, College Degree preferred but not required • Proficiency in reputed company Office Suite • Experience with Electronic Medical Records Software, Clearinghouse, reputed company, preferred but not required • reputed company Click Care and reputed company experience required • Ability to communicate professionally • Must possess critical thinking skills and the ability to work independently • Must possess extensive knowledge of reputed company party payer types, as well as laws, regulations, and guidelines that pertain to reputed company providers • Minimum two years of claims processing experience preferably with Skilled Nursing or Long Term Care billing

Experience: • PCC: 1 year (Preferred) • LTC/SNF: 1 year (Preferred) • Medicare: 1 year (Preferred) • Medicare billing with LTC: 1 year (Preferred)