Accounts Receivable Healthcare Medicare Biller – Choice Health – Claremont, NC

**This position requires experience in skilled nursing facility AR billing:

Verify Insurance, generate/review/submit Medicare A & B claims and billing

Claims: MSP, Hospice Medicare Claims, Conditional Payment Claims

Knowledge of FISS

Knowledge of Triple Check Process

Be able to post payments received properly with all adjustments necessary.

Bill claims out with 90% accuracy

Monitor and submit Medicare ADR’s

AHT Experience a plus

The Accounts Receivable Specialist is responsible for reviewing, preparing, and processing claims and charges for manual and/or electronic billing submission to Medicare, Medicaid and other Insurances.

Responsibilities

• Reviews, prepares, and processes claims and charges for manual and/or electronic billing submission to Medicare, Medicaid and Insurance.
• Works with facility business office managers (BOMs), assisting and providing support as needed.
• Focus is on claim resolution from initial billing through payment, including identifying and correcting billing errors/rejections and denials.
• Assists with collection efforts.
• Participates in monthly A/R reviews.
• Works with the BOM’s in facilities to ensure Month End Close is completed timely and accurately.
• Other assigned duties.

Education

Requires minimum high school diploma or equivalent.

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