Medicaid/Medicare Billing - Community

Otterbein SeniorLife•Franklin, IN

About The Position

Otterbein has an opening for a Medicare/Medicaid Biller. The primary responsibility of the Medicare/Medicaid Biller is to assist Accounts Receivable with Medicaid/Medicare and billing. At Otterbein, you are not an “employee.” You are a partner in caring because we are all partners working together for a goal. We believe in person-centered care that honors the residents and the choices they make. That are dedicated to providing the highest level of compassionate, quality care at our Communities or our small house neighborhoods. Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and so much more. Here is a link if you would like learn more about Otterbein SeniorLife Community Franklin: Click this link https://otterbein.org/find-a-location/franklin/

Requirements

High School diploma or general education degree (GED), or one to three months’ related experience and/or training, or equivalent combination of education and experience.
Completion of high school courses in typing, bookkeeping and other business subjects.
One to two years additional course work in accounting or bookkeeping at college or equivalent work experience.
At least one year of accounting/bookkeeping experience with emphasis in accounts receivable.
Employee must participate in orientation training, attend mandatory in-services, and/or other department specified training in-services.
To perform this job successfully, an individual must be able to use the Community’s computerized time clock system.
Employee should have knowledge of Microsoft Word, Outlook, and Excel Processing software, the internet, and have ability and willingness to learn and use, if any, other software applications pertaining to this position.

Nice To Haves

Some experience with computerized accounting systems desirable.

Responsibilities

Verify Medicaid and Medicaid waiver residents census and add payers
Verify Rehab Stay census & attach payers
Medicaid application
Authorized representative for family and Otterbein and send in documents needed
Field FSSA phone interview and letter with request
Process monthly Medicaid billing with the State and all 3 MCE’s
Process all monthly Medicare insurance billing
Monitor DDE system daily for Medicare claims status—make corrections and adjust.
Submit no pay claims
Private billing statements for SNF
Monitor all past due balances and contact responsible party for collection
Verify MCD eligibility for each resident on website for the month prior to billing
Prepare and track deviation bills for Medicaid residents who have old private balances
Bill and track Co-insurance claims
Prepare liability spread sheet with current liability or changes
Assist with Medicaid back billing on a computerized system
Follow up for Medicaid accounts – letters to families, phone calls to facilities that were former locations of Medicaid Residents
Enter in-house receipts from deposit for SNF
Assist with audits
Perform various other accounts receivable functions as assigned.
Work with all three MCE’s on Medicaid claims through Availity & UHC website
Track bad debt log for Medicaid—Medicare Co-Insurance with no supplement & submit annually.
Work with Hospice Companies to get claims paid
PASRR—send level of care to be updated in MCD system so we will get paid.
Perform various other accounts receivable functions as assigned.