What are the responsibilities and job description for the Medicare Specialist - Business Office - Days position at BHST?
We are looking to add top talent to our Baptist Hospitals of Southeast Texas team.
Join us in performing Sacred Work!
Competitive benefits are offered including:
Matched Retirement Plan
Paid Time Off
Comprehensive Benefit Plan – Medical, Dental, Vision and Much More!
Bonus Potential
Summary/Objective
The Medicare Specialist ensures that all Medicare claims are billed timely and accurately. Works remittance and rejection reports daily to identify issues. Processes appeals when applicable.
Essential Job Duties
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Reviews and corrects and all Medicare final and interim billed claims daily for accurate billing.
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Bills and claims timely within guidelines set notifying management of any issues if they cannot.
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Works remittance reports from Medicare to identify errors, denials, recoupments, incorrect payments, etc. and obtains the necessary information to rebill/appeal.
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Works track and aging reports to ensure all outstanding claims are resolved according to federal guidelines.
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Prepares monthly bad debt logs for a submission.
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Prepares quarterly credit balance reports for submission
Required Education and Experience
High School diploma or equivalent
1 – 3 years’ experience
Required License/Certifications
N/A
