Billing & Accounts Receivable Specialist

Hawkeye Care Centers of Iowa•Urbandale, IA

45d

About The Position

As a member of the Finance team, this position is responsible for the timely filing of claims to support skilled nursing and assisted living facilities. This position is responsible for the accurate submission, tracking, and posting of claims. The individual will work with our EHR to input, monitor and follow up on claim status. The individual in this role will work directly with multiple locations providing prompt service and timely follow-up. This is a great opportunity for individuals that are organized, process driven, and detail oriented.

Requirements

1-2 years of experience in medical billing.
Strong verbal and written communication skills
ICD-10 knowledge

Nice To Haves

Skilled nursing facility billing experience preferred (but not required)

Responsibilities

Processing monthly skilled nursing facility claims for Medicare, Medicaid, Private payers and third-party insurances
Posting insurance payments
Working denials
Ensuring current A/R for assigned facilities is accurate
Maintains or oversees maintenance of accounts receivable systems, resident billing and accounts according to accepted accounting principles, regulations, and company policy/procedures and timelines.
Maintains and oversees the billing and control of Medicaid, Medicare, Medicare Advantage, private insurance and co-insurance for patient claims.
Guarantees that all claims are filed accurately and on a timely basis.
Ensures that the co-insurance is billed to the responsible party or insurance company timely.
Communicates and works cooperatively with fiscal intermediaries, company accounting staff, auditors, state agencies and facility staff.
Research delinquent accounts and works the claim denial management process.
Complete general bank deposits and posting of electronic payments, making adjustments as needed.
Submit electronic and manual billing claims to carriers' intermediaries, and other payer sources through clearinghouse. Follow-up on Return to Provider (RTP) claims or rejected claims by the clearinghouse.
Reviews and updates census in EHR as necessary to ensure accurate billing
Reviews A/R monthly for accuracy.
Maintains professional and technical knowledge by attending educational workshops.
Follows instructions and completes daily assignments as assigned and is proactive to change.