Medical Billing Specialist

National Church Residences•Dublin, OH

4d•Onsite

About The Position

According to prescribed policies and procedures of the organization including all applicable state, federal and accreditation regulations and under the general supervision of the Lead Medical Billing Specialist assumes responsibility for performing all general accounting, billings, and bookkeeping functions for the Senior Living Division’s Facilities.

Requirements

Associates degree in Accounting, Finance or Business Administration preferrred.
Two to three years-accounting experiences.
Must have good communication, comprehension, computer and interpersonal skills.
Must have the ability to speak, read, write and understand English.
Must have working knowledge of Windows, Microsoft Office Suite, and World Wide Web.

Responsibilities

Manage accounts receivable for medical billing for the Senior Living Division including, but not limited to: Part A and B Medicare, Medicaid, Home Health, Hospice, Part B, Outpatient, Managed Care, Insurance, and Co-Insurance Billing.
Communicates with different insurance carriers for timely payment of our services.
Prepares and files insurance claims.
Performs modified “triple check” process to validate third party billing/claims.
Collects and prepares work papers for audit and cost reports.
Audits current billing and collection systems to ensure efficiency, accuracy and timeliness.
Manages the billing process for third party payors as assigned to ensure our systems are created to accurately and timely bill for our services.
Manages the collection process for third party payors as assigned to ensure our systems are created to accurately and timely collect for our services.
Creates billing and collection systems for all new payor types. This includes but is not limited to learning about new payor types, create and implement internal systems to bill and collect for these new services, train staff (administrators, nurses, business offices) on the new system, monitor the new systems for efficiency, accuracy and timeliness.
Reviews all medical records and their correlation to the billing system prior to any external audits by Medicare, Medicaid, Passport, Insurance, etc.
Creates/modifys payors and maintains reimbursement rates in accounts receivable software.
Keeps up to date with all billing regulations as they relate to our medical billing procedures.
Assists in the set-up of new policies and procedures.
Assists in the implementation of new billing practices.
Assists with the transition and software conversion of new acquisitions.