Medicare Collections SpecialistPosted: November 11, 2009
POSITION SUMMARY: Ensure claims/bills are produced according to payor and regulatory requirements to assure remittance at first pass: Improve Quality of Bills Produced prior to formal bill submission Reduce DSO RESPONSIBILITIES/ACCOUNTABILITIES: Prepare Claim Submission: Enter MDS RUG classification (for Medicare Only) provided by Center. Perform pre-bill analysis. Analyze Bill Edit and Exception Report. Liaise with SNF Customer Service Staff to resolve billing issues; issue/resolve BUGs. Make hardcopy corrections and update billing system. Print and File UB92 and Edit Reports per department standard. Edit Claim Submission: Review and process corrections for claims on hold in FI Systems Resolve errors/omits/adjustments on FI Systems. Process non-census adjustments/corrections in billing system. SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: 1. Associates Degree or some experience working in an office environment. 2. Healthcare work experience preferred. 3. Enjoys working in high volume environment. 4. Medical billing experience required 25156 Please refer to job code 25156 when responding to this ad.
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