Managed Care Billing Specialist
Job Description
Job Description
Managed Care Billing Specialist - Hybrid Positon
Hyper Care Management is looking for an experienced Managed Care Billing Specialist. Hybrid position - willing to commute to our Grand Rapids office or Washington Township office location.
Education and Licensure:
- 3 years of Billing experience in a Long-Term Care/Skilled Nursing Facility setting.
- High School Diploma or equivalent.
- 3-5 years in accounts receivable in a healthcare environment; preferred
Skills and Abilities:
- Knowledge with Managed Care, Medicare, Medicaid, and Coinsurance and follow-up.
- Proficient in relevant computer software, Point Click Care, Excel.
- Prepare, bill, and follow up on Managed Care claims ensuring timely and proper reimbursement.
- Bill and follow up on secondary claims associated with Manage Care primary billing.
- Post all payments for Managed Care timely and properly, moving copay amounts to the proper payer source as needed.
- Thorough understanding of Managed Care, Medicare, and Medicaid in SNF setting
- Thorough understanding of ADRs (Additional Documentation Request) in both Managed Care and Medicare billing
- Maintain up to date knowledge of changes in the healthcare industry that affect SNF billing policies and procedures.
- Take on special projects as needed by management.
- Resolve any discrepancies through research put forth on the Policy & Procedures of the AR department.
- Provide complete and accurate documentation for any Write-Offs proposed by the Medicaid biller.
- Point Click Care system experience is ideal but not required.
- Strong working experience using Microsoft Excel.
- Working knowledge of insurance policies and appeals.
- Other duties as assigned.
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