Medicare Bad Debt Specialist

PruittHealth • Norcross, GA

18d

About The Position

JOB PURPOSE:
Compilation and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of allowable Medicare bad debt claims based on third party documentation in accordance with Federal regulations.
KEY RESPONSIBILITIES:
1. Download and review weekly Medicaid remittance advices from the State Medicaid web portal for each facility.
2. Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance advice.
3. Adjust and/or correct Medicare Part A coinsurance crossover claims in the Medicaid web portal as needed.
4. Verify and document the Medicaid eligibility for each resident’s dates of service for each Medicare Part A coinsurance crossover claim.
5. Complete the Bad Debt Listing per documentation for each Medicare Part A coinsurance crossover claim.
6. Ensure the allowable bad debt amount for each Medicare Part A coinsurance crossover claim is written off correctly in MatrixCare.
7. Review each facility’s Bad Debt Listing for possible updates and/or changes needed prior to filing the annual Medicare Part A cost report.

Licensure/Certification/Education Requirements:
High School Diploma
Other Training, Skills, and Experience Requirements:
Microsoft Office, Computer Literate, Detail Oriented, Good problem-solving skills, Good people skills.
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As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.
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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
• Education Level: High school or GED