The Business Office Assistant is responsible for Account receivable and billing of patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include, entering patients demographics on the billing software system- Pointclickcare, Availity, Inovalon, sending claims to payers in a timely manner, resolving denied claims, review Medicare and Medicaid rules and claims, calling patients to discuss payment and develop reasonable payment plans, and recording information about outstanding claims.
Must be assertive with debt collection. Ensure that census ties into billing to ensure accurate account receivables, Complete Medicaid application and follow up with necessary steps to ensure that Medicaid applications are granted timely. Work with patient, responsible parties, attorneys or conservator to ensure request for information regarding Medicaid applications are responded to in a timely manner. Ensure that other payers are billed accurately using the right billing codes and reviewing rejected claims for resubmission.
Must have a strong working working knowledge of accounts receivable in the Nursing Home or SNF payable is required. Report to the Administrator and receive training and additional support as needed. Ability to interact with families or patient upon admission, engage with attorneys, state agencies, and work with interdisciplinary staff is required. *Manage patient/resident trust funds and confidential files in compliance with state and federal regulations.
Requirements:Must have a minimum of High School diploma
Must have completed or have experience with Medical billing and coding training, including knowledge of Medicaid, Medicare, Insurance, and private collection in a long term setting
Ability to process collection letters, refer collection matters to attorney and probate court
Must have a minimum of 2 years working as a biller in a Nursing home.
Business Office Assistant - Account Receivable • Windsor, CT, US
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