Medicaid/Medicare Billing - Community

Overview

Otterbein has an opening for a Medicare/Medicaid Biller. The primary responsibility of the Medicare/Medicaid Biller is to assist Accounts Receivable with Medicaid/Medicare and billing.

Summary

• Verify Medicaid and Medicaid waiver residents census and add payers
• Verify Rehab Stay census & attach payers
• Medicaid application
• Authorized representative for family and Otterbein and send in documents needed
• Field FSSA phone interview and letter with request
• Process monthly Medicaid billing with the State and all 3 MCE’s
• Process all monthly Medicare insurance billing
• Monitor DDE system daily for Medicare claims status—make corrections and adjust.
• Submit no pay claims
• Private billing statements for SNF
• Monitor all past due balances and contact responsible party for collection
• Verify MCD eligibility for each resident on website for the month prior to billing
• Prepare and track deviation bills for Medicaid residents who have old private balances
• Bill and track Co-insurance claims
• Prepare liability spread sheet with current liability or changes
• Auxiliary duties such as assisting with Medicaid back billing on a computerized system
• Follow up for Medicaid accounts – letters to families, phone calls to facilities that were former locations of Medicaid Residents
• Enter in-house receipts from deposit for SNF
• Auxiliary duties such as assisting with audits
• Perform various other accounts receivable functions as assigned
• Work with all three MCE’s on Medicaid claims through Availity & UHC website
• Track bad debt log for Medicaid—Medicare Co-Insurance with no supplement & submit annually
• Work with Hospice Companies to get claims paid
• PASRR—send level of care to be updated in MCD system so we will get paid
• Perform various other accounts receivable functions as assigned

Competencies

• Customer Service - Respond to requests for service and assistance
• Interpersonal Skills - Maintain confidentiality
• Written Communication - Edit work for spelling and grammar
• Professionalism - Approach others in a tactful manner

Qualifications

• High School diploma or general education degree (GED)
• One to three months’ related experience and/or training, or equivalent combination of education and experience
• Completion of high school courses in typing, bookkeeping and other business subjects
• One to two years additional course work in accounting or bookkeeping at college or equivalent work experience
• Completion of one to two years of accounting/bookkeeping experience with emphasis in accounts receivable
• Some experience with computerized accounting systems desirable

Benefits

• Medical insurance with free virtual doctor visits
• Vision and dental insurance
• Paid Time off that accrues immediately
• Paid Holidays
• Life insurance
• Retirements Savings with a 401(k) or 403(b) with company match
• Access up to 100% of your net earned based wages daily through DailyPay
• Employee sponsored fund for employees in need
• Employee Assistance Program (EAP)
• Tuition Assistance

BENEFITS*

*Some benefits are based on hours worked

Why work for Otterbein SeniorLife?

For more than 100 years, Otterbein has provided senior housing options rooted in respect and community. We’re a non-profit 501(c)(3) health and human service organization, so our values and initiatives are focused on serving our residents.

Follow your passion and apply today to begin a meaningful career as a Medicare/Medicaid Biller at Otterbein!

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