Facility Billing Specialist
Key Areas of Responsibility:
- Review of Receivables on Facility Contracts coming up for Renewal
- Pre-Verification on the payer types of Governmental Agency or Private Industry
- Pre-Verification on all Stand By accounts
- Review transports that missed initial Facility edits but meet the Facility contract criteria therefore, may be billable to the Facility
- Prepare billings both Daily and Monthly for Hospitals, Nursing Homes, Private Industry, Governmental Agencies, and Van Transports
- Facility Deposits – Posting payments and reconciling
- Payment Review of Unacceptable or Questionable Payments
- Review Overpayments and Processing of Refunds to Facilities
- Inbound calls relating to Facilities
- Correspondence relating to Facilities
- Prepare monthly Reports for Administration Review
Qualifications:
- 2+ years of facility contract billing/management, or 3 or more years of Medical Billing experience
- Intermediate knowledge of Microsoft Word and Excel
- Attention to detail and strong organizational skills
- Positive communication and customer service skills
- Understanding of Centers for Medicare & Medicaid Services regulations including but not limited to the SNF Consolidated Billing Act, PPS, Hospital Part-A Billing Requirements
- Ability to adhere to productivity goals and departmental guidelines
- Demonstrate a strong work ethic and work independently
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