Billing Coordinator (Medicare & Medicaid)

Ascend Health; Clark (NJ); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Competitive Salaries

Comprehensive Healthcare Benefits

401(k) Retirement Plan

Paid Time Off

Mileage Reimbursement

Opportunities to advance

Job summary

Ascend Hospice seeks a Billing Coordinator to manage Medicare and Medicaid billing and ensure timely, accurate submissions. The role involves monitoring high balance accounts, following up on primary and secondary billing, and developing action plans to lower receivables and improve cash flow.

You will work with Medicaid/Medicare representatives to verify payments, submit NOEs, and ensure regulatory compliance. Strong Excel skills and familiarity with patient accounting systems are required.

Qualifications

• 4 years of related Billing experience
• Knowledge of state and federal billing and audit requirements
• Experience with healthcare or hospice billing and data entry

Responsibilities

• Monitor high balance accounts and follow up
• Ensure timely primary and secondary billing follow-ups
• Develop monthly action plans to lower receivables and increase cash flow
• Ensure compliance with relevant regulations and laws
• Collaborate with Medicaid/Medicare representatives for accurate payments
• Submit NOEs for assigned payors
• Follow up on certification and recertification
• Follow up Medicaid pending with staff
• Serve as nursing facility liaison on Medicaid issues
• Analyze and post Medicaid remittance advices
• Inform Manager of Medicaid issues
• Utilize patient accounting system proficiently
• Ensure patient income is accurately reflected in the system
• Process Medicaid room and board payments to facilities timely
• Obtain necessary documentation from hospice staff to meet billing requirements
• Answer inquiries regarding financial data and billing
• Maintain monthly records for In-Patient Unit, Respite admissions, and private insurance patients
• Verify incoming accounts
• Perform insurance billing and payment audits
• Send discharge/revocation letters to facilities

Skills

Medicare Billing

Medicaid Billing

Billing systems

Education

High School Diploma or Equivalent

Tools

Microsoft Excel

Patient accounting system

Job description

Now Hiring - Billing Coordinator (Medicare & Medicaid Billing)

TheBilling Coordinator (Medicare & Medicaid Billing)is responsible for, but not limited to:

1. Routinely monitors all high balance accounts to ensure follow up activity.
2. Ensures all primary and secondary billing is followed up in a timely manner.
3. Develops monthly action plans to lower receivable and increase cash flow.
4. Ensures all applicable regulations and laws are met.
5. Demonstrates confidence and knowledge of Medicaid and Medicare billing processes and systems.
6. Works closely with Medicaid and Medicare representative to ensure that all payments and allowances are accurate.
7. Submits NOE for assigned payors.
8. Follow up on certification and re-certification pending list.
9. Follow up with office staff on all Medicaid pending.
10. Serves as nursing facility liaison on Medicaid related issues.
11. Analyzes and posts Medicaid remittance advices.
12. Informs Manager of any Medicaid related issues of importance.
13. Has proficiency in utilizing patient accounting system.
14. Ensures that patient income is accurately reflected in patient accounting system.
15. Ensures that Medicaid room and board payments to nursing facilities are processed in a timely manner.
16. Ensures that appropriate documentation is completed by hospice staff to meet billing requirements. Interact withn office staff.
17. Answers inquiries regarding financial data, accounting and billing.
18. Maintains and submits monthly records of In-Patient Unit and Respite admissions.
19. Maintains and submits monthly records of all private insurance patients.
20. Verifies all incoming accounts.
21. Performs insurance billing and payment audits periodically.
22. Sends letters to facilities to confirm discharges and revocations.

Ascend Hospice- is part of the Ascend family of Healthcare Companies. Our mission is to define excellence within the health care community. We are dedicated to inspiring people to live better lives through innovative health and wellness programs, products and services. We treat residents, their families and each other with respect, dignity and compassion. Through a collaborative and consultative approach, we strive to provide a framework of strength and stability for our patients, families and associates. We work to maintain the highest standards of care and service for our patients, families and valued employees.

We are proud to Offer:

• Competitive Salaries
• Comprehensive Healthcare Benefits
• 401(k) Retirement Plan
• Paid Time Off
• Mileage Reimbursement
• Opportunities to advance and grow your career
• And More!

If working with people who are dedicated, compassionate, and concerned about their patients is essential to you, then you'll appreciate being a part of our team. We've built a strong reputation on the outstanding level of care that we provide.

Ascend Hospice is an Equal Opportunity Employer

EEO/AA/M/F/DV

Education:

High School Diploma or Equivalent

Professional Experience:

• 4 years of related Billing experience
• Experience with health care or hospice
• Strong knowledge of Microsoft Office Applications, specifically Excel
• Knowledge of state and federal billing and audit requirements

Great new Career Opportunity in Hospice!