AR Billing Specialist
Empowered Staffing is a rapidly expanding organization that owns and operates long-term care facilities across IN, IL, and IA. Due to continued growth, the company is searching for an experienced AR Billing Specialist to join their corporate team in Lincolnwood and be responsible for accurately billing Medicare to ensure maximum reimbursement.
Responsibilities
- Review daily/monthly census to ensure accuracy of numbers and payer setup
- Accurately post daily cash receipts, adjust patient responsibility/co-pay/deductible as applicable in PCC, and reconcile cash report
- Follow up on all required billing information to process billing within the expected time frames
- Post and verify billing charges/ancillaries into PCC/billing software
- Generate, review, and transmit claims within the expected time frames for Medicare, Managed Medicare, Insurance- Skilled/Custodial, and Private payers
- Review AR aging continuously to ensure all current amounts are billed/transmitted, and follow up on accounts per company policy and guidelines
- Review and reconcile monthly income billed to the patient against the amount deducted from Medicaid and MCO remittances
- Analyze accounts with issues and make the necessary adjustments if applicable; coordinate with BOM/Corporate office if needed
- Complete write-off request with required documentation for approval
- Follow up and prepare appeals if needed, and update notes on accounts over 60 days
- Process cost report write-off request with all required documentation for Medicaid and Private co-insurance
- Analyze accounts under audit and gather documentation needed for Medicaid Integrity audit
Requirements
- Must possess a minimum of 2-5 years of skilled nursing billing experience
- Experience with Medicare and Managed Care insurance billing is a requirement
- Point Click Care (PCC) billing system experience
- Excellent communication skills and a proactive attitude
- Must have experience with Microsoft Office products
Benefits
- Competitive salary and comprehensive benefits package
- Hybrid work schedule
- PTO and paid holidays
- 401K plan with company match
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