AR Billing and Collections Specialist (Medicare) - Consulate Health Care - Roanoke

Consulate Health Care - Roanoke, VA2.7

Job ID 55585

Position Location US-VA-Roanoke

Facility Name Consulate Health Care - Roanoke

Job Category Finance - Billing


Position Status FT (Full Time)

Job Overview

Purpose of Your Job Position

As a Consulate Health Careemployee, you are entrusted with the responsibility of carrying out your daily tasks and assigned duties while demonstrating Consulate’s Core Values of Compassion, Honesty, Integrity, Respect and Passion. You are expected to provide innovative, responsible results with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results. The primary purpose of your job position is to manage the facility Medicare accounts receivable system.

Job Functions

As AR Billing Specialist, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties. Responsible for maintaining low A/R and bad debt for assigned payors. This position focuses on the billing and collections of all Medicare payor classes. This position is a non-supervisory function. This job description does not list all the duties of the job. You may be asked by supervisors or managers to perform other duties. You will be evaluated in part based upon your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time, for any reason.

Duties and Responsibilities

Record daily Medicare EFT cash receipts for remittance posting
Establish and maintain communication with Business Office managers, Regional Directors of Business Office Services and others responsible for payment of resident care services; Ensure all are kept current regarding account status.
Generate timely billing of Medicare A & B claims.
Check daily for claims that are ready for transmission.
Ensure all claims are processing in the Medicare DDE system, claims in RTP (Return to Provider) are corrected daily and all claims are adjusted by accurate account research.
Complete month-end close in a timely manner.
Follow up on all outstanding claims per department guidelines.
Adhere to established reporting procedures.
Prepare and submit reports on Medicare A/R as required.
Attendance required at all meetings at the discretion of your Manager.
Attend meeting and inservice training sessions, as appropriate.
Adheres to facility policies and procedures.
Maintain compliance with all state, federal, and government agencies.
Must be computer literate, excellent working knowledge of all pertinent software.
Maintain compliance with all state, federal, and government agencies.
Embrace Consulate’s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them into one’s daily job function.
Demonstrate respect and compassion in every interaction.
Conduct oneself with the highest degree of honesty and integrity in every interaction.
Perform all other duties, as assigned
Education and Experience Requirements

Must possess, as a minimum, a high diploma or its equivalent, two-year degree preferred.
Must possess a minimum of one (1) year of third party billing experience in a healthcare setting, preferably for Skilled Nursing Facility billing criteria. Medicare billing experience preferred.
Must have experience with Excel and Microsoft Word programs.
Must posses knowledge of and demonstrated skill with Lawson software.
Specific Requirements

Must possess the ability to prioritize duties and responsibilities.
Must be knowledgeable of computer systems, system applications, and other office equipment.
Working Conditions

Works in office areas.
Moves intermittently during working hours
Is subject to frequent interruptions
Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary.
Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).
Attends and participates in continuing educational programs.
Communicates with nursing personnel, and other department personnel.

Company Overview

Where Will Compassion Take You?

At Consulate Health Care, we're looking for talented, compassionate and hard-working individuals who are eager to serve others. Our team members go above and beyond to give our residents and patients the care they deserve — so you'll find that every day with Consulate Health Care offers new and exciting opportunities to learn and grow.

Compassionate hearts and passionate dedication – these two qualities shine in our team members and provide the foundation for our mission of “Providing Service With Our Hearts and Hands” . The compassion you'll show to residents, patients and their families is the lifeline of our business, while relationships with your peers and coworkers will strengthen our vibrant, diverse community.

Consulate Health Care is one of the nation's leading providers of Senior healthcare services, specializing in post-acute care. Operating in 21 states, we offer services ranging from short-term transitional care to Alzheimer’s and dementia care.

24-hour skilled nursing care
Comprehensive post-acute care
Physical, Occupational and Speech therapies
"Your Journey Home" short-term rehab program
Alzheimer's and dementia care
Care for medically-complex patients