What are the responsibilities and job description for the Medical Billing Specialist - HMO and Medicare Part A position at Athens Health and Rehabilitation LLC?
Position Summary
The HMO / Medicare Part A Billing Specialist is responsible for accurate and timely billing and collection of HMO and Medicare Part A claims for long term care and rehabilitation services. This role requires a strong understanding of health insurance, HMO, Medicare regulations, coding guidelines, and billing procedures.
Essential Duties and Responsibilities
- Review and analyze patient medical records to ensure accurate coding and documentation for HMO and Medicare Part A claims.
- Prepare and submit clean claims to Medicare, including inpatient and outpatient hospital services, skilled nursing facility stays, and home health services.
- Research and resolve denied or rejected claims by working with Medicare and other payers.
- Monitor claim status and ensure timely payment of claims.
- Be aggressive in cash collections
- Identify and correct errors in claims submission.
- Maintain accurate records of all billing and collection activities.
- Stay current on all Medicare regulations, coding guidelines, and billing procedures.
- Assist with audits and other compliance activities.
- Participate in team meetings and contribute to process improvement initiatives.
- Other duties as assigned.
Qualifications
Benefits
NHS Management offers a competitive salary and benefits package, including :
Equal Opportunity Employer
NHS Management is an equal opportunity employer and values diversity. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
