The primary purpose of your job is to prepare and submit monthly bills to residents, residents’ families, banks, attorneys, Medicare, Medicaid, Blue Cross/Blue Shield and participating HMOs and other insurances as needed, as well as any subsequent follow up necessary.
*Input new admissions, verifies insurances and update permanent records.
*Prepares and submits billing claims which include posting monthly receipts and adjustments; balancing sales, preparing refunds, and creating a Trial Balance.
*Prepares monthly bills for Private, Medicare, Medicaid, and other third party insurances.
*Maintains Medicaid Pending List. Completion of Form 3559 for Department of Social Services
*Verifies and inputs NAMI charges
*Notifies responsible parties of Medicare & Medicaid coverage and non-coverage.
*Supplies requested information to Medicare and Medicaid inquiries.
*Completion of Form 3559 for Department of Social Services.
*Issues covered, non-covered Medicare letters to family members.
*Performs routine analysis and follow up billing of outstanding accounts.
*Ensures proper procedures related to Medicare, Medicaid and other third party payers
*Maintains list of PRIs for Medicaid reimbursement.
*Prepares Blue Cross/Blue Shield bills for residents’ co-insurance (PIP, Blue Million, E2E2 coverages, Preferred Care Gold)
*Balances Days & Sales for input into General Ledger.
*Data Entry of Cash Receipts by Entity
*Responds to residents and responsible parties’ billing questions.
*Performs other duties as assigned.
*Opens and sorts daily mail.
*Analyses physician billing receipts, copies weekly billing and receipt information to be forwarded or returned to Billing Services.
Education Associate's Degree with one to two years accounting & computer experience preferably in Excel; or equivalent combination of education and experience. Knowledge of medical billing helpful.
Values The employee is required to uphold the organization’s values & department values.
Disclaimer to all current St. Ann's Community employees As a current employee of St. Ann’s Community, it is your responsibility to inform your manager that you have applied for this position. However, by submitting an online application you are granting St. Ann’s Community permission to contact your current supervisor to determine eligibility for an internal transfer.