Medicare Collections Specialist – Corporate Position Available In Williamson, Tennessee

Medicare Collections Specialist – Corporate Summit Healthcare Mgmt – 3.3

Franklin, TN Job Details Full-time Estimated:

$38.6K – $49.5K a year 19 hours ago Qualifications Medicare Mid-level High school diploma or GED CPT coding 2 years Full Job Description Medicare Collections Specialist – Corporate | Summit Healthcare Mgmt | Franklin, Tennessee About the

Job:

The Medicare Collections Specialist is responsible for providing accurate billing and collection services to multiple facilities for Medicare through the use of healthcare business software applications as a part of the Centralized Business Office team. Responsibilities include accurate billing preparation, recording receivable activities, identifying and resolving account discrepancies, and keeping electronic billing system current for Medicare.

Roles and Responsibilities:

Primary responsibility is working all Acute CBO sites Medicare AR across all ledgers including Hospital, Medi-Medi, Medi-Self and Medi-Qualified as well as maintaining the Medicare Bad Debt Log, in accordance with all guidelines. Verify all Medicare payments for accurate posting and DRG/Sequestration adjustment in period, as well as managing any account ledger moves. Run verification of benefits on all Medicare admissions and discharges to verify Medicare lifetime, coinsurance, and reserve days. Daily claim edits of all Medicare claims requiring edits in the clearinghouse, prior to submission in conjunction with appropriate patient Medicare lifetime coinsurance and reserve days. Claims Follow Up on all Medicare and Medicare Medicaid claims to ensure accurate claims adjudication. Maintain active DDE login for all assigned sites as well as enrollment with each sites MAC. Tracking all Medi-Medi claims to assure that secondary claims are processed with a qualifiable adjudication reason code. Continually reviewing and tracking all Medicare accounts for qualification on the Medicare Bad Debt Log. Responsible for maintaining the Medicare Bad Debt Logs, by assuring that appropriate records are kept with all supporting documentation.

Education/Experience/Skill Requirements:

High school diploma or GED. Two (2) years’ experience in billing and collections, preferably in a behavioral healthcare setting, with a working knowledge of computers and business software applications. Working knowledge of Medicare/Medicaid guidelines and Institutional (UB04) Billing Requirements Knowledge of UB04 forms, HCFA 1500 forms, CPT-4 and ICD10CM coding Two years of experience in Provider Enrollment/Credentialing with Medicare, CAQH, and other major insurance carriers. Why Summit Healthcare Mgmt?

Summit Healthcare Mgmt offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Qualified candidates should apply by submitting a resume. Summit Healthcare Mgmt is an EOE. Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.