What are the responsibilities and job description for the AR Specialist position at Addison Group?
Job Description
Job Description
Job Title : Medicare Accounts Receivable Specialist
Location : Franklin, TN
Hours : Monday to Friday, 7 : 00 AM - 3 : 30 PM or 8 : 00 AM - 4 : 30 PM
Pay : $23 - $26 / hr.
Addison Group is hiring for a client in the Behavioral Health sector. This position involves working with Residential Treatment Facilities and Acute Care Facilities.
Job Summary :
The Medicare Accounts Receivable Specialist will be responsible for handling all aspects of Medicare accounts receivable, including claim edits, follow-up, verification, and maintenance of logs. The ideal candidate will be detail-oriented and have experience with Medicare billing and claim management.
Key Responsibilities :
- Manage Medicare AR : Oversee and process all Medicare accounts across multiple ledgers, including Hospital, Medi-Medi, Medi-Self, and Medi-Qualified, ensuring adherence to all guidelines.
- Payment Verification : Ensure accurate posting of Medicare payments, including any necessary DRG / Sequestration adjustments, and manage account ledger movements.
- Verification of Benefits : Run benefit verifications for all Medicare admissions and discharges, confirming lifetime, coinsurance, and reserve days.
- Claims Editing : Edit and prepare all Medicare claims for submission to the clearinghouse, ensuring they comply with Medicare requirements, including coinsurance and reserve days.
- Follow-Up on Claims : Conduct follow-up on Medicare and Medicaid claims to ensure proper adjudication and resolution.
- DDE Management : Maintain an active DDE login for assigned sites and manage enrollment with each site’s Medicare Administrative Contractor (MAC).
- Track Medi-Medi Claims : Ensure all Medi-Medi claims are processed with a valid adjudication reason code for secondary claims.
- Medicare Bad Debt Log : Review and track accounts to ensure proper qualification for the Medicare Bad Debt Log and maintain accurate documentation.
Requirements :
How to Apply :
Apply today and join a growing team committed to excellence in healthcare billing and accounts managements.
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
IND 004-007
Salary : $23 - $26
