Springfield, MA, 01139, USA
338 days ago
Central Business Office Biller SNF
Billing Specialist Bear Mountain Healthcare Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, Private Billing and Masshealth Application Process. Duties include: • Review and bill out HMO/Insurance and Medicaid claims monthly. • Work with families, attorney’s and Masshealth to get residents approved for Medicaid. • Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines. • Calculate, prepare, and issue bills, invoices, account statements and other financial records according to established procedures. • Entering census data in Point Click software, such as new patient information, discharge, and any other census information. • Ensure patient account information is updated in a timely manner, including all patient data and insurance information • Send out private bills monthly, review, research and respond to all patient inquiries regarding patient accounts. • Daily deposits and post cash to patient accounts. • Ensure overpayments/refunds are appropriately processed and applied to patient accounts. • Post ancillary billing invoices in billing software monthly. • Experience with (RFMS) Resident Fund Management Services. • Perform additional duties as assigned. Requirements Include: • 3-5 years’ experience in Billing and Collections in Skilled Nursing Facility. • Experience with Point Click Care Software required. • Candidates must be detail oriented with excellent computer skills.
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