What are the responsibilities and job description for the Corporate CoInsurance Billing Specialist position at HG External?
In this position you will be responsible for the accurate timely filing, collection, and management of skilled nursing CoInsurance billing claims for assigned communities. This role reports to Director of Accounts Receivable.
- Third Party Claims submission
- Third Party Coinsurance
- Maintain documentation to support coinsurance claims submission and collections in accordance with defined policies.
- Prepare documentation/collection notes for monthly accounts receivable reviews.
- Identify, document, and communicate best practices and process improvement opportunities to manager.
- Prepare documentation for approval of contractual allowance adjustments and bad debt write offs
- Maintain up-to-date technical knowledge of Medicare billing rules and regulations via the CMS website, MAC website, newsletters, etc.
- Maintain up-to-date technical knowledge of applicable Medicaid billing rules.
- Maintain ongoing metrics for director, to provide continual self-assessment of performance and identification of process improvement opportunities.
- Provide back-up and cross-training to other associates in the revenue cycle team.
- Coordinate with Director of AR to develop, document and implement processes and procedures related to third party billing.
- Provide additional assistance and support as needed in the revenue cycle function.
To be successful in this role, you will have:
- Bachelor’s Degree in Accounting or Business or equivalent experience.
- 3 years of 3rd party billing experience handling complex billing issues and strong knowledge of applicable industry regulations.
- 3 years managing coinsurance billing
- Familiarity with CMS regulations, Managed Care contracts
- Experience with EHR systems is preferred
What's in it for you?
As one of the largest nonprofit owner/operator of senior living communities in the country, we are more than just a place to work. We are here to ensure that all we serve are provided with every opportunity to become their best selves as they define it, and this begins with YOU.
At HumanGood, we offer the opportunity to be part of something bigger than yourself on top of an incredible package of benefits and perks for our part-time and full-time Team Members that can add up to 40% of your base pay.
Full-Time Team Members:
- 20 days of paid time off, plus 7 company holidays (increases with years of service)
- 401(k) with up to 4% employer match and no waiting on funds to vest
- Health, Dental and Vision Plans- start the 1st of the month following your start date
- $25 tax per line Cell Phone Plan
- Tuition Reimbursement
- 5 star employer-paid employee assistance program
- Find additional benefits here: www.HGcareers.org
Compensation: $75,000-90,000 depending on experience and location
Location: this position is remote, but candidates must be located in a state in which HumanGood operates to be considered. Proximity to Los Angeles, San Francisco, or Philadelphia is preferred.
Come see what HumanGood has to offer!
Salary : $75,000 - $90,000
