Guardian Elder Care
  • Other
  • Brockway, PA, USA
  • Full Time

Guardian Elder Care is growing and looking for a Billing Specialist to join our team in Brockway, PA at the Home Office! We are looking for a career oriented individual, who can work independently & with a team. Medical billing experience is not required, we will train you! You will process monthly billing and engage in revenue collection for our facilities.


Position Summary:
The primary functions of a Billing Specialist are to process the monthly billing, apply payments received, and engage in collections activities to ensure 100% or more of revenue is collected each month for assigned facilities.  The primary function of this position is to process monthly billing and payments received for all Managed Care companies for assigned facilities.  Aging Report review utilizing all collection efforts as identified.

 

Educational and Experience Requirements:

  1. High School Diploma or equivalent
  2. Working knowledge of Microsoft Office
  3. Ability to read, write and speak English
  4. Ability to follow oral and written direction

 

Duties and Responsibilities: Managed Care Part A and Part B Billing Specialist

  1. Process accurate monthly billing as needed in order to maintain timely guidelines.
  2. Accurately post all cash remittance advices within the month in which they are received.
  3. Conduct monthly reviews of all accounts receivable in order to identify claims that need reprocessed in order to secure full payment for services rendered while keeping accurate up to date collection efforts noted in PCC.
  4. Read and decipher information as it is received from the facilities, insurance companies and /or other sources to have the proper information entered in PCC. Assist in areas in verifying benefits and eligibility when needed and help educate on contracts and reimbursement when the need arises.
  5. Communicate and help identify the need to educate/assist facilities to ensure proper billing is completed accurately.
  6. Month end charge entry of Lab, X-Ray and Pharmacy.
  7. Download of therapy charges received from the therapy department.
  8. Extensive telephone communication with facilities and insurances.
  9. Maintain good rapport with home office staff and facility staff.
  10. Keep apprised of new Medicare/Managed Care regulations by attending training and seminars as requested by the Billing Supervisor, updates on Medicare/Managed Care websites, and any other sources of information that may become available.
  11. Maintain an average of at least 100% of cash collected.
  12. All other duties as assigned.
  13. Maintains a professional, customer-oriented demeanor at all times.
  14. Cooperates with all co-workers and peers.
  15. Maintain confidentiality of information and HIPAA guidelines.
  16. Represents the corporate office in a positive manner.
  17. Identify, utilize and communicate processes that help all team work smarter and more efficiently.

INDLP

Guardian Elder Care
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