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Medicaid Billing and Collections Specialist

Company: Diakonos Group, LLC
Location: Edmond
Posted on: January 9, 2022

Job Description:

Come work with us and enjoy the benefits of a rewarding career as we provide exceptional care to our residents! We are seeking applicants who enjoy a team environment and family atmosphere, where regardless of position, we work together to be the difference makers and a guiding light in our profession. We offer comprehensive benefits, PayActiv, 401k, and education assistance. If you are a caring and compassionate professional with a drive for excellence, we want you!
We are driven by our commitment to our industry and expect excellence from our employees. We build a work environment where each individual is valued and has the opportunity for growth.
We strive to be the guiding light in our profession.
Purpose of Your Job Position
The primary purpose of your job position is to bill, collect and post payments from Medicaid and to manage and assist the Business Services Associates with the Medicaid Pending Process; from application to estimating vendor pay and approval processes for all Medicaid billing locations that include skilled nursing facilities and applicable assisted living facilities. You will also assist the Director of Accounts Receivable in overseeing collections on private payer sources.
DUTIES AND RESPONSIBILITIES


  • To bill all Medicaid weekly and track claims until correct payment is received
  • Post Medicaid payments received weekly and audit and correct all accounts where payment does not equal the revenue booked, resulting in a debit or credit balance
  • Review private payer aging weekly and monthly and assist Director of Accounts Receivable in guiding BSA's on collection
  • Assist in training and assisting Business Services Associates in the Medicaid Pending Process
  • Responsible for adding billing notes regarding status of unpaid balances
  • Ensure documentation of all actions relating to a specific case. Assure all records are up-to-date and reflect current activity on a daily basis
  • Review Medicaid Pending Logs weekly and work with BSA's on progress
  • Responsible for maintaining current knowledge of regulations, industry trends, current practices, and new developments regarding credit issues and the long term care industry
  • Ensure knowledgeable in Medicaid, benefit coordination, payor requirements on submitting claims, and techniques in how to submit a clean claim to ensure payment at first pass
  • Understand factors affecting DSO and Bad Debt e.g. Payor Source Sequencing, Coordination of Benefits, Insurance Requirements, Asset Spend Down, Appeals/Denials

    Education

    • Must possess, as a minimum, a high school education or its equivalent Associates Degree preferred but not required

      Experience

      • Minimum two year billing experience in a LTC/SNF environment or in a Central Billing Office for LTC Company
      • Working knowledge of Oklahoma Medicaid Programs as they operate in SNF environment
      • Working knowledge of Managed Care and Co-Insurance in a SNF environment.
      • Experience using Word, Excel. Experience using PCC is helpful, but not required.

        Specific Requirements

        • Must be able to read, write, speak, and understand the English language
        • Must be proficient in Word and Excel
        • Must have clear written and verbal communication skills
        • Must be able to maintain confidential information
        • Most possess good time management skills
        • Must maintain excellent attention to detail
        • Must be a supportive team member, contribute to and be an example of team work and team concept
        • Must possess the ability to make independent decisions when circumstances warrant such action
        • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the public
        • Must possess the ability and willingness to work harmoniously with other personnel
        • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents
        • Must not pose a direct threat to the health and safety of other individuals in the workplace
        • Must be able to work independently

Keywords: Diakonos Group, LLC, Edmond , Medicaid Billing and Collections Specialist, Other , Edmond, Oklahoma

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