Central Billing Associate

Erickson Senior LivingBaltimore, MD
1d$22 - $24Onsite

About The Position

The Central Billing Associate is responsible for securing revenue by verifying and posting receipts daily and resolving discrepancies. This position also maintains records of invoices, debit, and credits and oversees the tracking of all claims. What we offer: A culture of diversity, inclusion, equity and belonging, which builds on our mission, vision and values Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and telemedicine options PTO Plans, PLUS company paid volunteer hours for eligible team members, in accordance with applicable state law 401k for all team members 18 and over with a company 3% match Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age Education assistance, certification reimbursement and access to over 6,000 courses through our online learning library, designed to enhance your current skills and build new ones Growth Opportunities – grow with the company as we open new communities and expand on our existing ones! This is an onsite position and not remote. May consider hybrid after several months.

Requirements

  • 1-2 years of healthcare accounts receivable experience in medical billing, collections, experience required
  • Demonstrated Knowledge in the following: Medical Reimbursement Methodologies, ICD-10-CM/CPT/HCPCS Coding, and Medical Terminology
  • Insurance Verification and Eligibility
  • Please note that specific state regulations and requirements may be applicable. These regulations take precedence over the requirements outlined in the job description.

Responsibilities

  • Review claims for coding and billing accuracy.
  • Performs Insurance follow-up and collections of accounts
  • Adheres to department guidance on account documentation note structure and content to provide all stakeholders with actions taken and next steps for accounts receivable management
  • Review billing of charges to Medicare Traditional, Medicare Advantage, Medicaid, Railroad Retirement and commercial third party payers and ensure that claims are submitted according to insurance regulations and guidelines of each state where Medical Centers are located
  • Possess knowledge of Medicare, Medical Assistance and other 3rd Party Payer billing instructions, and procedures according to regulations and guidelines
  • Review correspondence received from insurance companies and resolve matters pertaining to previously processed payments or denials.
  • Initiates appeals, correct claims submissions, or submits medical records in response to payer requests for information or claims denials
  • Performs appropriate subsequent billing when resolving accounts
  • Research Insurance overpayment and credit balances utilizing appropriate payment, write-off codes and refunds.
  • Operates effectively within the organizational structure; demonstrates eagerness to learn and assume responsibility; displays a "can do" approach to work; shows flexibility in response to process change and adapts to and accommodates new methods and procedures; accepts direction and feedback from supervisor and follows through appropriately
  • Protects the organization’s value by keeping information confidential
  • Respond to CMS inquiries within specified deadlines.
  • Responsible Answer inbound calls related to patient balances, billing questions, insurance coverage, and payment inquiries
  • Coordinate with other departments (front desk, clinical, insurance verification) to resolve issues identified through call center interactions

Benefits

  • A culture of diversity, inclusion, equity and belonging, which builds on our mission, vision and values
  • Medical, dental and vision packages, including an annual reimbursement for qualified wellness expenses, personal health coaching and telemedicine options
  • PTO Plans, PLUS company paid volunteer hours for eligible team members, in accordance with applicable state law
  • 401k for all team members 18 and over with a company 3% match
  • Onsite medical centers, providing wellness visits and sick care for all team members over 18 years of age
  • Education assistance, certification reimbursement and access to over 6,000 courses through our online learning library, designed to enhance your current skills and build new ones
  • Growth Opportunities – grow with the company as we open new communities and expand on our existing ones!
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