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Beaumont Health System Billing Specialist Sr LTC in Farmington Hills, Michigan

div bspan /span/bspan/spanbspanGeneral Summary:span /span/span/bspanThe Senior Billing Specialist for post-acute care services serves as a technical resource on billing and general compliance questions.span /spanUnder general supervision of billing manager, performs a wide variety of specialized tasks involved in the billing and collection efforts for skilled nursing home services rendered.span /spanUtilizes expertise in medical insurance and billing to ensure the appropriate and accurate submission and processing of Medicaid, Medicare, Private Pay and Commercial insurance claims for maximum reimbursement of services provided and avoiding rework, denials and adjustments. Independently reviews and resolves denials.span /spanProvides training, coaching and assistance to billing associates responsible for assisting with Medicare and managed care related tasks.span /spanPerforms financial and billing audits, identifies issues and works to resolve.span /spanAssists in preparing aging, benchmark and other financial reports as requested./spanspan /spanbspan /span/bbspanEssential Duties:/span/bspanspan /spanspan /span/spanspan /spanspan1. /spanspanThird Party Billing Specialist.span /spanAble to bill and collect complex payers.span /spanAble to resolve denials on their own.span /spanIdentifies delinquent accounts and prepares write offs for approval.span /span/spanspan2. /spanspanTrains and mentors staff on billing processes and procedures, /spanspan3. /spanspanActs as a lead in the absence of the manager a" oversees the billing department staff./spanspan4. /spanspanReviews patient financial files and insurance coverage upon admission.span /spanWorks with Resident, Family and Admission Department to resolve any missing documentation or information.span /span/spanspan5. /spanspanBilling software specialist.span /spanResponsible for training the staff on the multiple software products, keeping the set ups current and troubleshooting issues with the software vendor./spanspan6. /spanspanProvides month-end close cycle support (billing package and billing system reconciliation)./spanspan7. /spanspanProvides statistical analysis and summaries/analysis of accounts receivable data for financial reporting. /spanspan8. /spanspanPrepares regulatory filings review and approval for Skilled Nursing billing and reimbursement./spanspan9. /spanspanInterprets 3rd party billing requirements and other technical issues related to accounts receivable.span /spanModifies the billing software set ups to correctly bill for services. span /spanProvides training and in-service for staff./spanspan10. /spanspanAssists in resolving difficult/sensitive resident or family concerns and refers to appropriate decision makers for situations above prevue. /spanspan11. /spanspanResponds to external year-end financial audit requests for accounts receivable and revenue data testing./spanspan12. /spanspanProvide and performs patient account and billing functions as needed to support the billing staff for independent and assisted living apartment home/services/spangt