Billing Specialist - Nursing Home - Full Time - Days at Mohawk Valley Health Systems
Utica, NY 13502, USA -
Full Time


Start Date

Immediate

Expiry Date

30 Jun, 25

Salary

0.0

Posted On

30 Mar, 25

Experience

1 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Good communication skills

Industry

Accounting

Description

JOB SUMMARY

The Nursing Home Billing Specialist is responsible for analysis of revenue cycle functions for the Nursing Home including but not limited to registration, billing, insurance/customer service collections and payment posting. The Nursing Home Billing Specialist must understand all payer and regulatory requirements to resolve accounts. Works under the general supervision of Manager, Revenue Cycle.

Responsibilities
  • Maintain the census within the revenue cycle system to ensure billing accuracy.
  • Analyze system reports to trend and resolve outstanding Accounts Receivables.
  • Assist management with detailed analysis of denial trends and provide recommendations to enhance processes with the revenue cycle automation.
  • Collaborate with admission coordinator and clinical departments to ensure financial clearance and increase revenue.
  • Supports patients and/or power of attorney with transition to long term care by gathering documentation required for insurance coverage.
  • Maintain system edits to ensure accuracy of billing and patient statements.
  • Organize department documents through electronic scanning and system documentation.
  • Inform department staff and management of inaccuracies in system to ensure timely and accuracy of all department functions.
  • Maintain and reconcile cash on hand for resident funds and facility petty cash.
  • Prepare Advance Beneficiary Notices (ABN) and Notice of Medicare Non-Covered (NOMNC) to satisfy regulatory requirements set by CMS.
  • Comply with organization policies.
  • Prepare system for month end closing, reporting and cash reconciliation.
  • Perform related duties as assigned.
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