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Managed Care Billing Specialist (Remote)

Diversicare Support Center(BSC)
Brentwood, TN Remote Full Time
POSTED ON 12/15/2023 CLOSED ON 4/4/2024

What are the responsibilities and job description for the Managed Care Billing Specialist (Remote) position at Diversicare Support Center(BSC)?

Overview

About Us:

Core Long Term Care Services (Core LTC) is dedicated to revolutionizing long-term care support services, allowing LTC operators to dedicate their energy to exceptional patient care. We offer a comprehensive suite of shared services including IT, accounting, billing, payroll, accounts payable, treasury services, and HR compliance & labor relations.

 

Why Choose Core LTC:

  • We are pioneers in reshaping long-term care support services.
  • Join a passionate team driven by excellence and innovation.
  • Impact the healthcare industry by enabling exceptional patient care.
  • Embrace a collaborative and fast-paced work environment.
  • Elevate your career by joining Core LTC today. Together, let's redefine the future of long-term care support services.

#BSC123

Responsibilities

  • Acts as leader in the revenue cycle process, especially in the billing and collection phases, of the managed care accounts.
  • Provides accurate, detailed, and timely documentation of all assigned accounts.
  • Acts as knowledgeable liaison between facilities, central intake, and managed care providers
  • Maintain manuals with specific guidelines to billing of claims.
  • Ability to read and comprehend contracts and calculate reimbursements, patient responsibility monies, contractual adjustments, and refunds.
  • Effectively collect or resolve patient accounts receivable and monitor A/R agings and write-off’s. 
  • Assist facilities in resolving patient accounts through collections and/or by contractual adjustment. 
  • Assist facilities in staying informed of managed care providers’ requirements and notifying the BOM (business office manager) and/or Administrator of any changes in contract or policy effecting them.
  • Responsible for checking status and documenting all assigned insurance accounts, as well as filing or refiling electronic and/or paper claims.
  •  

    Qualifications

    • Experience filing insurance claims and collecting reimbursement, particularly in the field of long-term care, is preferred
    • Knowledge of managed care billing, along with experience filing on UB04 and 1500 forms.
    • Ability to effectively communicate with coworkers, management, and managed care companies is necessary
    • Knowledge/experience in Microsoft Office
    • Bachelor degree or equivalent preferred
    • Ability to read and comprehend contracts is required

     

     

     

    Diversicare is committed to being an equal opportunity employer.  Diversicare does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex (including gender identity), national origin, age, or disability, sexual orientation, citizenship, marital status, veteran status, genetic information, or any other characteristic protected by law.

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