Medicare Coordinator I
About The Position
Performs billing collection functions for Medicare account receivables keeping accounts to a minimum and cash flow to a maximum. Reviews and processes electronic claims along with analyzing and correcting claims via AccessANYware, SSI and DDE software systems to ensure timely reimbursement has been received. Problem solves RTP and denied claims and provides support/maintenance for the electronic Medicare billing system. Responsible for the coordination and updating of the CM and DDE billing updates, billing tables and system edits to ensure maximization of electronic capability. Responsible for running job streams, generating and evaluating electronic Medicare billing reports. Responsible for education and training of staff in electronic claims submissions. Keeps current on changes to Medicare billing regulations and compliance issues. Responds to incoming calls and walk-in patients.
Requirements
- Minimum of four (4) years of Patient Financial Services experience.
- Two (2) years of experience working with Medicare billing and collections.
- An Associate's degree or higher can be considered in lieu of the Medicare billing and collections experience requirement.
Nice To Haves
- Two (2) years of experience in utilizing Windows based software applications.
- Certified Patient Account Technician (CPAT), Certified Revenue Cycle Specialist (CRCS) or subsequent certification.
- Ability to analyze problems and consistently follow through to resolution.
- Ability to meet public and handle difficult situations diplomatically.
- Working knowledge of ICD-10 and CPT coding.
- Ability to type a minimum of thirty (45) words per minute.
Responsibilities
- Performs billing collection functions for Medicare account receivables.
- Reviews and processes electronic claims.
- Analyzes and corrects claims via AccessANYware, SSI and DDE software systems.
- Problem solves RTP and denied claims.
- Provides support/maintenance for the electronic Medicare billing system.
- Coordinates and updates CM and DDE billing updates, billing tables and system edits.
- Runs job streams, generates and evaluates electronic Medicare billing reports.
- Provides education and training of staff in electronic claims submissions.
- Keeps current on changes to Medicare billing regulations and compliance issues.
- Responds to incoming calls and walk-in patients.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
