CAS Billing Associate

Genesis Healthcare System

23h

About The Position

CAS Billing Associate is responsible for submitting accurate and timely claim billing and reports based on a health plan, payor, or contract requirement. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.

Requirements

High School Diploma or GED equivalent required.
Two years of relevant billing experience required. Priority consideration given to those that have specific experience with EMS Billing and/or EMS Dispatch.
Certified Ambulance Coder (CAC) certification or must obtain within three months of hire.
Must possess a valid state driver’s license and be eligible for driving privileges based on current Genesis P&Ps.
Excellent communication and interpersonal skills - written, verbal, and presentation.
Maintains a positive attitude when acting as a change agent.
Must read, comprehend, and follow written and verbal instructions.
Must read and understand English.
Ability to assess situation needs and problem solve.
Demonstrating knowledge, skills, and ability related to patient care and routine procedures at CAS within one's scope of practice, as demonstrated by completing annual competencies.
Attends at least six educational programs per year or 24 hours of continuing education per year pertinent to the role.
Extensive knowledge of the EMS system, including Basic Life Support (BLS) and Advanced Life Support (ALS) medical protocols, departmental operating procedures, and incident command.
Computer skills for utilizing various software, such as word processing, spreadsheet and database software, internet-based document sharing, and internet-based polling and scheduling applications.

Responsibilities

Demonstrates complete knowledge, understanding, and compliance with company policies and procedures.
Demonstrates comprehensive knowledge and understanding of (and compliance with) Federal, State, and local laws, rules, regulations, and guidelines regarding reimbursement, collections, and compliance.
Complete patient demographics verification to include insurance coverage of benefits and proper coordination of benefits.
Complete health plan billings based on requirements.
Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds and or credits when applicable.
Identify covered services based on payor guidelines and federal and state regulations.
Meet or exceed established standards for productivity and quality.
Communicate effectively and professionally with external customers.
Assist with customer service issues, questions, or payments via phone, email, or physical mail.
Resolve payment issues with carriers (denials, partial payments, etc.).
Review, modify, and re-bill rejected or denied claims.
Assist with cash payment posting to provide payor backup as needed for payments received.
Perform other duties as assigned.
Always maintain the security and privacy of all company and patient information in accordance with HIPAA and all other local, state, and federal regulations.
Is responsible for maintaining billing and patient care records in accordance with proper HIPAA and document retention standards.