Medicaid Biller

CHQ CHSI EMP LLC; Indianapolis (IN); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Life Insurance and Disability Plans

Medical, dental, and vision coverage

401K with employer match

Flexible Spending Accounts

Job summary

CommuniCare Health Services in Indianapolis, IN is seeking a Medicaid Biller for our Central Billing Office. The role handles Traditional Medicaid and Pathways billing, follows up on unpaid claims, posts payments, and ensures accurate payer submissions.

The ideal candidate has a High School diploma or GED, knowledge of medical billing, strong attention to detail, and the ability to work independently. Prior experience in long-term care or healthcare billing is preferred, with familiarity of

Qualifications

• Knowledge of medical billing/collection practices.
• Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care.
• Must have a high degree of attention to detail.
• Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency.

Responsibilities

• This position will handle Traditional Medicaid and Pathways billing.
• Ensure all claims have been submitted and exported correctly according to each payer’s Billing Procedure.
• Follow up on unpaid claims within the standard billing cycle time frame.
• Post all payments received against the appropriate claim.
• Check each insurance payment for accuracy and compliance with contract discount.
• Prepare necessary adjustments, enter into billing system, and provide backup documentation to Supervisor.
• Research, resolve, resubmit, and/or appeal all denied claims in a timely manner.
• Prepare appeal letters to insurance carrier when not in agreement with claim denial.
• Collect necessary information to accompany appeal.
• Maintain Medicaid bad-debt log by tracking billings, monitoring collections, compiling information.
• Review and audit A/R aging reports as necessary.
• Write thorough collection notes on billing activity with clear and reliable data.
• Prepare Weekly/Monthly Reports as instructed by the CBO Team Manager.
• Maintain work operations by following policies and procedures, reporting compliance issues.
• Maintain quality results by following standards.
• Other duties as assigned.

Skills

Medical billing/collections

Attention to detail

Independent decision making

Communication skills

Education

High School diploma or GED

Tools

Billing software applications

Job description

Job Address

8275 Allison Pointe Trail Suite 370 Indianapolis, IN 46250 Medicaid Biller CommuniCare Health Services is currently recruiting a Medicaid Biller for our Central Billing Office located in Indianapolis, IN.

Purpose/Belief Statement

The position of Medicaid Biller is responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.

What We Offer

All CommuniCare employees enjoy competitive wages and PTO (Paid Time Off) plans. We offer full time employees a menu of benefit options that include:

• Life Insurance and Disability Plans
• Medical, dental, and vision coverage from quality benefit carriers
• 401K with employer match
• Flexible Spending Accounts

Qualifications/Experience Requirements

• High School graduate or GED required.
• Prior Work/Life experience, preferably in a long term care setting.
• Prior work/life experiences, preferably in a healthcare setting.
• Prior experience preferably with related software applications.

Knowledge/Skills/Abilities

• Knowledge of medical billing/collection practices.
• Must be knowledgeable of accounts receivable practices and procedures, as well as laws, regulations and guidelines that pertain to long term care.
• Must have a high degree of attention to detail.
• Must have the ability to make independent decisions when circumstances warrant such action, sense of urgency.
• Strong mathematical, written and verbal communication skills.
• Basic computer literacy and skills
• Strong organizational skills a must.

Job Duties and Responsibilities

• This position will handle Traditional Medicaid and Pathways billing.
• Ensure all claims have been submitted and exported correctly according to each payer’s Billing Procedure.
• Follow up on unpaid claims within the standard billing cycle time frame.
• Post all payments received against the appropriate claim.
• Check each insurance payment for accuracy and compliance with contract discount.
• Prepare necessary adjustments, enter into billing system, and provide backup documentation to Supervisor.
• Research, resolve, resubmit, and/or appeal all denied claims in a timely manner.
• Prepare appeal letters to insurance carrier when not in agreement with claim denial.
• Collect necessary information to accompany appeal.
• Maintain Medicaid bad-debt log by tracking billings, monitoring collections, compiling information.
• Review and audit A/R aging reports as necessary.
• Write thorough collection notes on billing activity with clear and reliable data.
• Prepare Weekly/Monthly Reports as instructed by the CBO Team Manager.
• Maintain work operations by following policies and procedures, reporting compliance issues.
• Maintain quality results by following standards.
• Other duties as assigned.

About Us

A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort we create "Caring Communities" where staff, residents, clients, and family members care for and about one another. Since 1984, CommuniCare Family of Companies has been committed to delivering exceptional person-centered care as a national leader in post-acute care for those that are chronically ill or have complex conditions. Our more than 150 skilled nursing, assisted living, and long-term care facilities deliver sophisticated and transformative care to nearly 16,000 residents and patients at any given time. CommuniCare employs more than 19,000 employees across six states (Ohio, Indiana, Maryland, Virginia, West Virginia and Pennsylvania). As a family owned and operated company, family and heart are woven into every aspect of our continuum of care. Our mission, to serve with pride, is evident and a quality residents, families and community partners have come to expect and trust. Dedicated to improving the lives of seniors, we put extraordinary service above all else. We continue to raise the bar and innovate wherever possible to deliver a higher quality of life for those far beyond our facilities. Because of this, our facilities are a better place for residents to live, patients to stay, employees to work and families to heal.