What are the responsibilities and job description for the Medical Biller | Medicaid Pending Specialist position at Ryders Health Management?
Medical Biller / Medicaid Pending Specialist
Company Description: Ryders Health Management is a family-owned long term care provider with 8 skilled nursing facilities across Connecticut, outpatient services and a homecare company. We are coming up on our 75th anniversary and our flagship facility was recently named one of the Best Nursing Homes in the country Newsweek.
We are currently hiring a Medicaid Billing Specialist at our corporate office. We offer excellent benefits provided by United Healthcare, 401K matching, company-paid life insurance and a caring community with a great deal of longevity among our staff. Come join our dynamic team today!
Medicaid Billing Specialist Job Description:
In this position, you will work with facilities to identify and process Medicaid Pending cases, Redeterminations, Bill and Collect Accounts Receivable in accordance with current applicable accounting and cost reimbursement principles relating to the long-term care operations, and as may be directed by the Regional Accounts Receivable Manager. Responsibilities include but are not limited to:
- Timely and accurate AR billing and collections based upon payers guidelines and requirements for facilities
- Work with families in gathering appropriate documentation for Medicaid application and redeterminations.
- Review Pending Applications with Business Office Manager to assure timeliness of authorizations and assists with redeterminations.
- Travel to facilities to gather information and work with families.
- Stay current with intermediary procedural changes.
- Maintain accurate and timely records and reports, including all accounts, journals, deposits, ledgers, etc.
- Ensure staff comply with Privacy Practices and to protect residents' health information and report any abuses (e.g., EEO, OSHA, patient rights, fraud/abuse laws)
- Keep timely, accurate and complete records and documentation.
Medicaid Billing Specialist Benefits: (*applies to 24 hours or more,**Full-Time only)
Requirements:
- Must possess an associate's degree in accounting and/or an equivalent of two (2) years training and experience in health care accounting, billing & collections.
- Must have as a minimum two (2) years' experience in bookkeeping or accounting practice. Experience in health care accounting preferred but not required.
- Knowledgeable in various payment sources as needed and assists Business Office Manager when necessary.
- Diligent in collections
Ryders Health Management is an equal opportunity employer and we do not discriminate on the basis of age, race, gender, religion, ethnicity, national origin or any other characteristic.
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