Medicare/Medicaid Collections Coordinator 2

VITAS Healthcare•Miramar, FL

2d•Onsite

About The Position

The Medicare/Medicaid Collections Coordinator is responsible for the timely billing and collection of Medicare and Medicaid claims. This position is located in our Corporate Miramar, Florida office. The role requires the individual to enter admission and claims information into the system, review Medicare accounts for necessary information, respond to technical help letters, and review and make corrections and adjustments to claims. The coordinator will also review Medicaid admissions daily for eligibility and third-party payer information, and regularly review the Medicaid Pending Report to perform necessary follow-up. Responsibilities include preparing accurate billings and submitting them to the appropriate state Medicaid System, obtaining information from teams and medical records, analyzing and maintaining documentation for prompt and accurate billing and collection, and reviewing Billing and Collections reports for unbilled claims. The role involves communicating with the appropriate state agency as needed, performing timely account follow-up, and reviewing/correcting denied or suspended claims on weekly Medicaid Remittances. Additionally, the coordinator will review and make necessary corrections and adjustments to billing, including posting applied income amounts and changing financial class when appropriate. They will regularly review the Aged Trial Balance Report (ATB) to monitor collection progress and identify problem areas, and work with Hospices to obtain Medicaid Numbers for patients in any Medicaid Pending category. The position also involves recommending and forwarding uncollectible accounts to a supervisor and assisting department management as needed. This position description does not state or imply that these are the only duties to be performed; employees may be required to perform other job-related duties assigned by their supervisor or management.

Requirements

Three to five years prior office experience
Proficient in MS Word, Outlook, and Excel
Good math, typing and communication skills
Ability to work on various assignments simultaneously

Responsibilities

Enter admission and claims information into system.
Review Medicare accounts for necessary information required.
Respond to technical help letters.
Review and make all necessary corrections and adjustment to claims.
Review Medicaid admissions daily for eligibility and third party payer information.
Review Medicaid Pending Report on a regular basis and perform any necessary follow up.
Prepare accurate billings and submit to the appropriate state Medicaid System using electronic claims submissions when possible.
Contact teams and medical records to obtain information as needed.
Analyze and maintain required documentation for prompt and accurate billing and collection.
Review Billing and Collections reports for unbilled claims and bill as appropriate.
Communicate with appropriate state agency, as needed.
Perform timely account follow up activity and review and correct claims that have been denied or suspended on weekly Medicaid Remittance.
Review and make all necessary corrections and adjustments to billing including posting applied income amounts and changing financial class when appropriate.
Review Aged Trial Balance Report (ATB) on a regular basis to monitor collection progress and locate any possible problem areas.
Work with Hospices to obtain Medicaid Numbers for patients that are in any Medicaid Pending category.
Recommend and forward uncollectible accounts to your supervisor for final review.
Assist department management as needed.
Performs related duties as required.