Billing Coordinator (Medicare & Medicaid)

About the role

The Billing Coordinator (Medicare & Medicaid Billing) monitors high balance accounts, ensures timely follow-up on primary and secondary billing, develops monthly action plans to lower receivables and increase cash flow, and ensures all applicable regulations and laws are met.

Responsibilities

• Routinely monitors all high balance accounts to ensure follow up activity
• Ensures all primary and secondary billing is followed up in a timely manner
• Develops monthly action plans to lower receivable and increase cash flow
• Ensures all applicable regulations and laws are met
• Demonstrates confidence and knowledge of Medicaid and Medicare billing processes and systems
• Works closely with Medicaid and Medicare representative to ensure that all payments and allowances are accurate
• Submits NOE for assigned payors
• Follow up on certification and re-certification pending list
• Follow up with office staff on all Medicaid pending
• Serves as nursing facility liaison on Medicaid related issues
• Analyzes and posts Medicaid remittance advices
• Informs Manager of any Medicaid related issues of importance
• Has proficiency in utilizing patient accounting system
• Ensures that patient income is accurately reflected in patient accounting system
• Ensures that Medicaid room and board payments to nursing facilities are processed in a timely manner
• Ensures that appropriate documentation is completed by hospice staff to meet billing requirements
• Interact with office staff
• Answers inquiries regarding financial data, accounting and billing
• Maintains and submits monthly records of In-Patient Unit and Respite admissions
• Maintains and submits monthly records of all private insurance patients
• Verifies all incoming accounts
• Performs insurance billing and payment audits periodically
• Sends letters to facilities to confirm discharges and revocations

Qualifications

• High School Diploma or Equivalent
• 4 years of related Billing experience
• Experience with health care or hospice
• Strong knowledge of Microsoft Office Applications, specifically Excel
• Knowledge of state and federal billing and audit requirements

Benefits

• Competitive Salaries
• Comprehensive Healthcare Benefits
• 401(k) Retirement Plan
• Paid Time Off
• Mileage Reimbursement
• Opportunities to advance and grow your career