Billing Analyst

Billing Analyst

We have an opportunity for a full-time Billing Analyst to coordinate Medicaid claims submission for the company. This position is based in our Resource Center located in Minnetonka, MN. Primary responsibilities include : financial oversight of Medicaid revenue line, contract negotiation, claims submission, maintaining accurate records, and working collaboratively to ensure timely payment.

Responsibilities :

• Financial oversight of Medicaid revenue line
• Contract negotiation
• Submit Medicaid claims monthly
• Ensure billing accuracy for dates and services rendered
• Work with MCOs / vendors to set up autopay if applicable
• Manage MCO payments and work to get 100% of claims paid through ACH vs check
• Maintain service authorization binders and spreadsheets to ensure accurate billing rates
• Update billing system to reflect any change in daily rates
• Update billing system to reflect resident days out of the community
• Collaborate with community to ensure residents receive timely communication if converting to Medicaid
• Proactively look for new service authorizations prior to expiration to ensure continuous claim submission and payment
• Work with case manager to ensure new authorizations are received upon expiration
• Maintain accurate spreadsheets of Medicaid residents, service authorization information, fees, and dates of billing
• Apply Medicaid payments in billing system
• Bill residents in billing system for required spend downs
• Contact Medicaid providers to request information, ask questions about payments and service authorizations
• Review Medicaid accounts receivable and work to resolve any denied or unpaid claims
• Verify and reconcile Medicaid payments received
• Work with clinical team to ensure service authorizations are consistent with care plans and provide discrepancy reporting to clinical and operations team
• Assist communities with monitoring and provide reporting on residents migrating from private pay to Medicaid or other government programs

Qualifications :

New Perspective Senior Living is an equal opportunity employer.