What are the responsibilities and job description for the Medical Billing Specialist position at Life Care Companies, LLC?

Job Description

Position Title : Medical Billing Specialist

Schedule : Full Time Days (40 hours)

Salary : $35.00 - $42.00

Who we are :

Experience the future of senior living and care as soon as you step foot into our doors. Casa de las Campanas offers upscale resort-style living in the scenic area of Rancho Bernardo. Our team of dedicated professionals strives to improve the lives of seniors in our community on a daily basis. Our campus and surroundings reflect the love that our residents have for southern California. Our unique combination of an all-inclusive lifestyle, exceptional hospitality, and stunning location is unmatched. Our well-traveled and outdoorsy senior community enjoys socializing over meals, exploring nearby trails, and taking in breathtaking views. We are currently seeking a talented Medical Billing Specialist for our Health Center. If you want to experience a fresh perspective on senior living, join us today!

You will enjoy :

0 employee cost share for medical insurance
Dental and Vision Insurance
Now offering DailyPay!
An employee appreciation bonus, which is funded by our residents
Life insurance
Long-term disability insurance
403 (b) retirement plan with employer match
Tuition reimbursement program
PTO and paid holidays
Pet insurance
AFLAC
Monthly Employee Engagement Activities
An extraordinary work environment that is both engaging and fun!

Who you are :

High school diploma or equivalent

Medical Billing Certification

1-2 years of Accounts Receivable experience or 3-4 years' experience in Accounts Receivable

Skilled nursing billing experience is required

Job Summary :

The Health Center Medical Billing Specialist shall be responsible for all aspects of Health Center Billing, including HMO and Medicare Billing, Accounts Receivable, and A / R Cash Receipts. They shall also provide backup assistance for other accounting staff.

Essential Job Duties

Health Center Billing

Completes all Health Center billing, including HMO and Medicare is completed.

Meet daily with the HC Leadership team to review treatment plans and changes in financial status.

Monitors amended contracts and ensures proper billing rates.

Verification of Medicare days used.

Participates in the monthly triple-check process for Medicare Part A & B claims.

Participate in quarterly compliance meetings and ensure Health Center billings meet all Federal and State guidelines.

Reconciles the census at month end & notifies appropriate ancillary service providers that bill based on census levels.

Maintain separate files for Medicare remittances, hospice payments, Medicare denial letters, and monthly training on Noridian for changes.

Input appropriate billing codes into Vision.

Ensures accuracy of patient insurance before and throughout admission.

Accounts Receivable & Purchasing

Ensures all records used for Accounts Receivable are complete and accurate.

Maintains contract files on Health Center residents.

Inputs Accounts Receivable information into the computer database.

Processes Accounts Receivable data and prepares billing statements, including an audit review, for distribution.

Prepares monthly Accounts Receivable reports and uses them for account analysis and timely follow-up of aging accounts.

Maintains McKesson software database relating to healthcare supplies. Ensures the charge-capturing system continues to capture data.

Complete Medicare Credit Balance Report.

Communicates related accounting data with residents, staff, and others professionally and courteously.

Follows claims through Medicare audits and appeals to ensure prompt payment and any refunds are issued promptly.

Verifies that all HMO claims are received promptly via telephone or Internet.

Assist other departments including purchasing and admissions, MDS, and medical records to ensure a timely billing process

Bill Medicare co-insurance when appropriate.

Verify all ancillary charges for accuracy and reasonableness, including oversight of central supplies billing.

Complete the check-off list for Medicare ADR (Additional Documentation Requests) in an organized manner.

All Employees must be able to pass background checks (fitness for duty physical, fingerprinting, employment references) as required by a licensed residential care facility. Some of the roles in our community require that we ask about your COVID-19 vaccination status.

Salary : $35 - $42

Apply for this job

Receive alerts for other Medical Billing Specialist job openings

Medical Billing Specialist

What are the responsibilities and job description for the Medical Billing Specialist position at Life Care Companies, LLC?

What is the career path for a Medical Billing Specialist?

Job openings at Life Care Companies, LLC

Not the job you're looking for? Here are some other Medical Billing Specialist jobs in the San Diego, CA area that may be a better fit.

We don't have any other Medical Billing Specialist jobs in the San Diego, CA area right now.

AI Assistant is available now!