Medicare Bad Debt Specialist

PruittHealth • Norcross, GA

6d

About The Position

The Medicare Bad Debt Specialist is responsible for compiling and verifying required third-party documentation for all Medicare bad debt claims on an annual cost reporting basis. This role involves calculating allowable Medicare bad debt claims in accordance with Federal regulations, using the provided third-party documentation.

Requirements

• High School Diploma
• Microsoft Office
• Computer Literate
• Detail Oriented
• Good problem-solving skills
• Good people skills

Responsibilities

• Download and review weekly Medicaid remittance advices from the State Medicaid web portal for each facility.
• Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance advice.
• Adjust and/or correct Medicare Part A coinsurance crossover claims in the Medicaid web portal as needed.
• Verify and document the Medicaid eligibility for each resident’s dates of service for each Medicare Part A coinsurance crossover claim.
• Complete the Bad Debt Listing per documentation for each Medicare Part A coinsurance crossover claim.
• Ensure the allowable bad debt amount for each Medicare Part A coinsurance crossover claim is written off correctly in MatrixCare.
• Review each facility’s Bad Debt Listing for possible updates and/or changes needed prior to filing the annual Medicare Part A cost report.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED