**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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Source: Indeed.com
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