Administration Billing Associate
Scope of Responsibilities : The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances
Job Summary : The following are the duties performed by employees in this classification.
Responsibilities
Job Duties :
- Face-sheet and census entry to ensure accurate billing.
- Verifying primary and secondary insurance coverage on residents.
- Provide customer service and problem resolution to facilities and residents.
- Account reconciliation and account refund requests
- Complex account reconciliation
- Account adjustments, bad debt processing
- Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
- Track and re-bill pending Medicaid accounts
- Re-bill claims as needed
- Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.
- Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
- Recognize and rectify any errors made within an account
- Set up Lawson accounts for facility and private pay
- Month-end closing process
- Re-bill claims to improve reimbursement from NETRX reporting
- Assist in special projects as required
- Works with minimal supervision
- May assist in orienting and training new employees
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
Qualifications
Attendance Requirements :
Must be available, and on-time for scheduled work shiftsEducational Requirements :
Required : High School Diploma or GEDPreferred : Associates Degree or Higher in Accounting or related fieldExperience :
Preferred : Experience in Accounts Receivable Department or Collections preferred, but not requiredRequired (Vermont Employees) :
Registered with the State of Vermont as a Pharmacy TechnicianJob Skill Requirements :
Assertive interpersonal communication skillsStrong understanding of computer technologyBehavioral Traits Required :
Cooperation : Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact withInitiative : Must work within supervision guidelines and assume additional responsibilitiesFlexibility : Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned workAdaptability : Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiencesInvolvement : Must enjoy the demands of the job and work with interest and enthusiasmCustomer Service : Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriatelySafety : Must take care of equipment and employ good safety habitsLeadership : Must gain acceptance of ideas and accomplish goals through subordinates, peers and teamsCompensation : $18.00-22.00 an hour
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.