What are the responsibilities and job description for the Third Party Reimbursement Specialist position at Peabody Retirement Community?
Peabody Retirement Community -
Peabody Retirement Community is seeking a Full-Time 3rd Party Reimbursement Specialist. The Third Party Reimbursement Specialist is responsible and accountable for the day-to-day accounting functions of the community related to third-party reimbursement within the limits of company policies, procedures, and programs, and perform tasks within the current acceptable accounting and cost reimbursement principles related to the long-term care operation and as may be directed by the Director of Finance.
Essential Functions :
- Perform third-party billing in a timely fashion and promptly investigate any late payments, errors, or other issues.
- Responsible and accountable for maximizing Medicare and Medicaid reimbursement.
- Responsible for being knowledgeable in Medicare and Medicaid regulations.
- Maintain and review all support schedules needed for supporting Medicaid and Medicare cost reports and reimbursements.
- Responsible for collaborating with the Division of Family and Children to improve the accuracy and timeliness of Medicaid applications to ensure no reimbursement is lost.
- File appropriate claim forms and back up info for long term care insurance.
- Assist in preparing Medicare, Medicaid, and Room and Board Assistance cost reports.
- Prepares and maintains contracts with third party payers.
- Attend departmental meetings and in-service training as scheduled or as directed.
- Inform supervisor of supply / equipment needs.
- Maintain the confidentiality of resident information and honor the residents’ personal property rights.
- Perform other related duties that may become necessary or as assigned by the Director of Finance.
- Perform physician and geriatric nurse practitioner billing in a timely fashion as needed.
Requirements :
