Healthcare Billing Coordinator

Healthcare Billing Coordinator -Landis Communities

Performs billing and collections for Landis Homes' Healthcare residents. Responsible for census maintenance, Medicare and Managed Care billing, write-offs, payment processing, A/R collections and follow-up. Provides back-up to the Residential/Personal Care Billing Coordinator. Provides financial, administrative, and clerical support for the Finance department.

Healthcare Billing Coordinator_ Position Essential Duties/Responsibilities:_

• Maintains daily census changes for healthcare residents.
• Works closely with Admissions to verify Medicare, managed care, and coinsurance benefits and with Social Services, RNAC's and others to determine coverage and benefits.
• Sets up and maintains payer information for Healthcare residents.
• Performs Medicare and Managed Care billing for Healthcare residents and for residents receiving therapy.
• Reconciles room and board charges for Medicare A, managed care and other third party payers as appropriate.
• Generates, reviews, imports and posts charge batches.
• Organizes and participates in Triple Check procedures and meetings. Completes Triple Check reports.
• Generates claims and submits Medicare, managed care and insurance claims through Waystar after triple check review.
• Reviews A/R aging, follows up on outstanding claims and submits appeals/reconsiderations as needed.
• Imports/posts payments for Medicare and managed care.
• Assists residents, family members and responsible parties with questions on Medicare and insurance billing.
• Confirms all MDS assessments are completed before month-end billing.
• Requests refunds from A/P for accounts with credit balances as needed.
• Reviews invoices for therapy, lab and radiology services and enters related ancillary charges.
• Prepares monthly, quarterly and annual reports in a timely manner.
• Serves as back-up to the Residential/Personal Care Billing Coordinator.
• Gather cost report data.
• Tracks and submits Nursing Homes Assessment Data. Submits quarterly payments.
• Reviews Medicare credit balances. Completes and files the Quarterly Medicare Credit Balance Report.
• Completes physician sanction checks for new physicians.
• Maintains Medicare and Managed Care fee schedules and updates annual therapy charges.
• Actively monitors changes in state and federal regulations which affect billing and/or reimbursement in order to keep Landis Communities and affiliates in compliance with all regulations. Pursues further education if needed.
• Bills annual flu vaccines for Healthcare residents.
• Submits shadow claims and no-pay claims to Medicare.
• Obtains Part B authorizations for therapy.
• Reviews and modifies Part B diagnosis codes for therapy billing. Ends episodes of care for outpatient therapy residents.

Healthcare Billing Coordinator_ Position Qualifications:_

• Associate's degree in Accounting or related field or equivalent 2 years work experience required.
• Previous billing and collections experience in the long-term care field or equivalent work experience required.
• Previous experience with Medicaid, Medicare, and other third party insurers required.
• Basic knowledge of general ledger and accounting principles and practices required.
• Able to work independently, well-organized, and can multi-task.
• Proficient in use of computer and related technology required for the role.
• Good verbal, non-verbal and written communication skills required.

Healthcare Billing Coordinator -Landis Communities

Job Type: Full-time

Expected hours: 40 per week

Benefits:

• 401(k) matching

Schedule:

• 8 hour shift
• Day shift

Work Location: In person