Medicare & Medicaid Billing Specialist - Revenue & Compliance

Ascend Health; Clark (NJ); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Competitive Salaries

Comprehensive Healthcare Benefits

401(k) Retirement Plan

Paid Time Off

Mileage Reimbursement

Opportunities to advance and grow your

And More!

Job summary

Ascend Hospice in Clark, NJ is hiring a Billing Coordinator (Medicare & Medicaid Billing). The role focuses on monitoring high balance accounts, timely primary/secondary billing, and collaborating with Medicaid/Medicare representatives to ensure accurate payments.

The position requires 4 years of billing experience, healthcare/hospice familiarity, and strong Microsoft Excel/MS Office skills; knowledge of state/federal billing and audit requirements is essential.

Qualifications

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

Responsibilities

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

Skills

Billing experience

Healthcare/hospice knowledge

Excel proficiency

Billing regulations knowledge

Education

High School Diploma or Equivalent

Tools

Microsoft Excel

Job description

Ascend Hospice in Clark, NJ is hiring a Billing Coordinator (Medicare & Medicaid Billing). The role focuses on monitoring high balance accounts, timely primary/secondary billing, and collaborating with Medicaid/Medicare representatives to ensure accurate payments.

The position requires 4 years of billing experience, healthcare/hospice familiarity, and strong Microsoft Excel/MS Office skills; knowledge of state/federal billing and audit requirements is essential.