What are the responsibilities and job description for the Billing Specialist-PV position at Green County?
JOB
SUMMARYThe Pleasant View Billing Specialist, is responsible for providing support to the Pleasant View Nursing Home Residents and Administration by maintaining provider credentialing, coordinating client intake, billing appropriate insurances and Medicaid and Medicare programs, as well as preparing client statements. This position will monitor the status of all resident accounts, outstanding claims/invoices, write-offs, and report this information to Agency Leadership on a regular basis. The Billing Specialist is responsible for supplying the reporting data to the State of Wisconsin and/or Centers for Medicaid & Medicare as required.
EXAMPLE OF DUTIES
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The following duties are normal for this position. These are not to be construed as exclusive or inclusive. Other duties may be required as assigned.Process resident paperwork for intake including financial information and determining eligibilityResponsible for all functions of billing and coding processes for a skilled nursing facility (SNF)Manage accounts receivable billing and collection of payments for all forms of resident payments Prepare and mail resident statements monthlyMonitor accounts receivable and involve Office Manager or Administrator as necessaryRespond to account questions and billing discrepanciesMaintain resident account balances and transaction history. Update rates in Point Click Care annually to match the approved fees.Prepare deposits and post payments.Process Managed Care and Insurance weekly as well as submission updates.Provide Medical Reports and Documentation as requested by Managed Cares, Insurance and other billing entitiesMaintain confidentiality of all residents’ information.Monitor and track account write-offs and report regularly to the Office Manager and AdministratorComplete credentialing applications as needed to credential providers with insurance companiesMaintain provider rosters for each insurance company Maintain and provide current credentialing lists for Nursing Home as neededProvides back-up to medical records secretary as neededOther duties as assigned
SUPPLEMENTAL INFORMATION
Green County is an equal opportunity employer.
SUMMARYThe Pleasant View Billing Specialist, is responsible for providing support to the Pleasant View Nursing Home Residents and Administration by maintaining provider credentialing, coordinating client intake, billing appropriate insurances and Medicaid and Medicare programs, as well as preparing client statements. This position will monitor the status of all resident accounts, outstanding claims/invoices, write-offs, and report this information to Agency Leadership on a regular basis. The Billing Specialist is responsible for supplying the reporting data to the State of Wisconsin and/or Centers for Medicaid & Medicare as required.
EXAMPLE OF DUTIES
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: The following duties are normal for this position. These are not to be construed as exclusive or inclusive. Other duties may be required as assigned.Process resident paperwork for intake including financial information and determining eligibilityResponsible for all functions of billing and coding processes for a skilled nursing facility (SNF)Manage accounts receivable billing and collection of payments for all forms of resident payments Prepare and mail resident statements monthlyMonitor accounts receivable and involve Office Manager or Administrator as necessaryRespond to account questions and billing discrepanciesMaintain resident account balances and transaction history. Update rates in Point Click Care annually to match the approved fees.Prepare deposits and post payments.Process Managed Care and Insurance weekly as well as submission updates.Provide Medical Reports and Documentation as requested by Managed Cares, Insurance and other billing entitiesMaintain confidentiality of all residents’ information.Monitor and track account write-offs and report regularly to the Office Manager and AdministratorComplete credentialing applications as needed to credential providers with insurance companiesMaintain provider rosters for each insurance company Maintain and provide current credentialing lists for Nursing Home as neededProvides back-up to medical records secretary as neededOther duties as assigned
SUPPLEMENTAL INFORMATION
Green County is an equal opportunity employer.
