Medical Billing Associate

Buckner International•Dallas, TX

1d•Hybrid

About The Position

Buckner International is seeking a Medical Billing Associate to join our Financial Services Team. This role is responsible for managing the complete billing cycle for all Buckner Retirement Services Communities, ensuring accuracy, compliance, and timely processing of claims. Join our team and shine hope in the lives of others!

Requirements

Understanding and ability to use simple arithmetic and grammar with accuracy
High School Diploma (or G.E.D.) required
Minimum 3 years prior related experience performing medical billing and coding tasks preferred
Proficient working knowledge and ability to accurately and timely operate and perform computer related tasks with specific equipment and software applications, including, but not limited to, Microsoft Word, Excel, Power Point, and Outlook, required
At least one year of experience handling SNF, AL, IL and MC claims across various specialties
Understanding of the ICD-9-CM, ICD-10-CM, CPT, and HCPCS codes and E/M coding guidelines
Experience with Medicare, Medicaid and 3rd party payers
Ability to handle stressful situations in a professional manner
Ability to set priorities and work independently while maintaining a high level of accuracy
Requires basic understanding of bookkeeping
Requires ability to maintain confidentiality
Requires proficient ability to exhibit detail-oriented skills necessary to understand and manage a wide range of information
Requires ability to relate positively, influentially, and sensitively to a broad spectrum of persons in a variety of multi-tiered relationships and settings
Works effectively with cross-functional teams, leadership, and external partners
High ethical standards with a focus on integrity, accountability, and transparency
Must be age 21 or older to drive on behalf of Buckner
Must provide proof of liability insurance and must be eligible to be insured under Buckner’s insurance

Nice To Haves

May require some travel to assist other communities
Requires ability to drive assigned vehicle(s) or personal vehicle, with appropriate state license, following all laws applicable

Responsibilities

Create and submit claims batches within MyUnity
Monitor changes in Medicare regulations and adjust billing practices accordingly
Post charges and payments to correct accounts
Review CPT, ICD-10 and modifier coding for accuracy based on clinical documentation
Submit electronic claims (EDI) and resolve clearinghouse rejections
Identify and resolve credit balance, processing refunds or adjustments when necessary
Verification of resident insurance as necessary for accurately billing claims
Assist with obtaining any authorization prior to resident being admitted into SNF
Escalate complex denial trends and unresolve accounts to the Healthcare Billing manager as necessary
Follow billing policies and compliance guidelines, including HIPAA protocols
Other duties as assigned