What are the responsibilities and job description for the Billing Analyst position at New Perspective Senior Living?
We have an opportunity for a full-time Billing Analyst to coordinate Medicaid claims submission for the company. This position is based in our Resource Center located in Minnetonka, MN. Primary responsibilities include: financial oversight of Medicaid revenue line, contract negotiation, claims submission, maintaining accurate records, and working collaboratively to ensure timely payment.
RESPONSIBILITIES
- Financial oversight of Medicaid revenue line
- Contract negotiation
- Submit Medicaid claims monthly
- Ensure billing accuracy for dates and services rendered
- Work with MCOs/vendors to set up autopay if applicable
- Manage MCO payments and work to get 100% of claims paid through ACH vs check
- Maintain service authorization binders and spreadsheets to ensure accurate billing rates
- Update billing system to reflect any change in daily rates
- Update billing system to reflect resident days out of the community
- Collaborate with community to ensure residents receive timely communication if converting to Medicaid
- Proactively look for new service authorizations prior to expiration to ensure continuous claim submission and payment
- Work with case manager to ensure new authorizations are received upon expiration
- Maintain accurate spreadsheets of Medicaid residents, service authorization information, fees, and dates of billing
- Apply Medicaid payments in billing system
- Bill residents in billing system for required spend downs
- Contact Medicaid providers to request information, ask questions about payments and service authorizations
- Review Medicaid accounts receivable and work to resolve any denied or unpaid claims
- Very and reconcile Medicaid payments received
- Work with clinical team to ensure service authorizations are consistent with care plans and provide discrepancy reporting to clinical and operations team
- Assist communities with monitoring and provide reporting on residents migrating from private pay to Medicaid or other government programs
QUALIFICATIONS
- Bachelor’s Degree in related field preferred
- 2 years of experience in Medicaid billing
- Strong computer and software skills. Eldermark and PointClickCare experience a plus
- Familiarity with Medicaid billing procedures and regulations
- Excellent attention to detail and must maintain accuracy
- Ability to work independently with minimal supervision and collaboratively as a team
Salary : $65,000 - $80,000
