Medical Billing and Collections Specialist

Cadia Healthcare; Kennett Square (Chester County); Hybrid; USD 27,552 - 41,328; Part time

Job summary

Cadia Healthcare is seeking a skilled Medical Billing and Collection Specialist in Kennett Square, PA. This part-time position involves managing collections and billing for our nursing facility, requiring proficiency in medical billing practices and Excel.

Applicants must have a high school diploma and experience in bookkeeping and healthcare. Responsibilities include billing for Medicare, Medicaid, and private payers, as well as supporting resident fund management. Travel to Millsboro, DE is required one day a week.

Qualifications

• 2 years bookkeeping/accounting experience preferred.
• Healthcare industry experience preferred.
• Medical Billing/Collections experience preferred.

Responsibilities

• Assist Residents with Resident Fund Management Services.
• Perform functions of computer/data processor.
• Handle social security checks for resident accounts.

Skills

Medical billing

Collections

Patient accounts management

Customer care

Excel proficiency

Education

High School Diploma or equivalent

Tools

Microsoft Office (Excel, Word)

Job description

Job Details

Job Location: Kennett Square, PA 19348

Position Type: Part Time

We are seeking a skilled, knowledgeable, and proficient Medical Billing and Collection Specialist with experience in medical billing, collections, patient accounts management, and customer care for our Skilled Nursing facility located in Delaware. Must be able to work from our Corporate office in Kennett Square, PA 4 days a week as well as the Facility in Millsboro, Delaware one day a week. This position requires someone to be organized, hardworking, able to multitask, work independently, with intermediate knowledge in Excel.

Medical billing and collection responsibilities include Medicare, Medicaid, Insurance, Private, and other payers. The primary function of the Medical Billing and Collection Specialist is the billing and collection of all resident accounts, and collections on all balances due to the facility.

Specific Duties and Responsibilities

• Assist Residents with Resident Fund Management Services (RFMS) for residents holding accounts with facility
• Set up appointments with resident family members as required
• Communicate effectively with hospital personnel, residents, family members, and the general public
• Perform functions of computer/data processor
• Maintain resident confidentiality
• Answer phone messages on voice mail
• Read and respond to Emails
• Enter census changes and admissions from the previous day
• Collection Calls, monitor and collect accounts receivable and report delinquent accounts to the Administrator
• Enter changes to patient pay as they come from Medicaid
• File for Representative Payee’s as needed; set up in RFMS for direct deposit
• Bill any newly approved Medicaid Residents through EDS
• Eligibility and benefits verification
• At least once a week do a bank deposit and verify accuracy of daily deposit tickets with cash receipt journal
• At least once a week do RFMS deposits/withdrawals and close D/C resident accounts
• Handle social security checks for resident accounts, pay care cost for resident
• Process and post daily charge slips to resident accounts
• Enter your cash deposits and remittance advices; post payments received to appropriate resident’s accounts (i.e., Private Pay, Medicare, Medicaid, Hospice, other insurance, etc.)
• Record payments received to appropriate cash receipts journal
• Attend U/R meetings
• File Income protections to Medicaid
• By the 1st business day balance the census with the admission for the previous month
• By 2nd of month fax accurate census to the Lab, X-Ray, Pharmacy, etc.
• Bill Medicaid before Friday 10:00am the first week of the month
• Bill VA, Hospice, Insurance etc the first week of the month
• By the 10th enter/review all the ancillary charges (i.e., Therapy, Medical supplies, pharmacy, lab, x-ray, incontinence, airflow beds, oxygen, etc.)
• By the 13th bill/transmit Medicare
• By the 15th verify accuracy of system and close the month in the billing system
• By the 17th private statements mailed; prepare monthly statements for mailing
• Attend A/R meetings
• By the 25th RFMS bank statement reconciliation and verification all D/C residents refunded
• 3rd party payment posting
• Assist in reconciling trial balances as directed
• Assist in reconciling bank statements as directed
• Last day of the month deposit
• Review and handle concerns, correct errors on residents accounts
• Maintain a file of copies of all charge slips, debits, credits, etc. issued to each resident
• Petty cash
• Follow established resident fund accounting procedures; provide each resident with a quarterly accounting of funds managed by facility
• Support Onix Accounting Department as needed
• Travel to Millsboro, Delaware one day a week

Qualifications

• High School Diploma or equivalent required
• 2 years bookkeeping/accounting experience preferred
• Healthcare industry experience preferred
• Medical Billing/Collections experience preferred
• Must be willing to travel to Millsboro, DE
• Must be proficient in Microsoft Office (Excel and Word)
• Must be able to make independent decisions when circumstances warrant such action
• Must be able to plan, organize, develop, implement and interpret programs, goals, objectives, policies and procedures
• Must be able to problem solve effectively
• Must possess computer knowledge/experience