Top 4 Direct care specialist 3rd Jobs in Cleveland, Oh

SNF/LTC - Medicaid Billing Specialist
Richter and Associates —Twinsburg, OH
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
Quick Apply
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WorkWave —Cleveland, OH
- $115,000 - $130,000 a year
- Full-time
- Remote
- 5 years
- Analysis skills
- Continuous improvement
- Paid holidays
- Health insurance
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SNF/LTC - Medicaid Billing Specialist

Richter and Associates -
Twinsburg, OH

Quick Apply

Job Details

Full-time

Qualifications

Customer communication
HIPAA
Patient management software
High school diploma or GED
Health insurance knowledge
PointClickCare
Health information regulatory compliance
Productivity software
Clinical confidentiality policies

Full Job Description

Job Summary:

The role's primary responsibility is to be a part of the Revenue Cycle process team. The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timely billing of the collection process of client revenue.

Responsibilities:

Completes billing and collection efforts for all assigned payer types, including but not limited to generating clean claims, document billing, and collection activity, performing account analysis and problem-solving, and denials management.
Performs Accounts Receivable management of outstanding client accounts by prioritizing accounts by age and revenue amount.
Works effectively within the client and/or Richter Healthcare Consultants billing systems, responds to any client correspondence.
Participates in accounts receivable reviews with the client as requested by management staff.
Communicates effectively and responds to inquiries by client staff, co-workers, and other party representatives within 24 hours of request.
Prioritizes and manages time to accomplish project goals and expectations within the appropriate deadline.
Communicates status of projects to team leader/manager on a regular basis depending on project requirements
Reports project status to client weekly via reports, documentation in software, or AR calls as directed.
Identifies and escalates issues regarding tracking worksheets, at-risk accounts, incorrect database errors, communication, and payers to direct supervisor.
Meets stated goals associated with the assigned workflow.
Performs other duties as assigned.

Qualifications:

High School Diploma or equivalent required
Three to Five years of claims processing experience preferably with Skilled Nursing or Long-Term Care billing
Must possess extensive knowledge of 3rd party payer types, as well as laws, regulations, and guidelines that pertain to healthcare providers.
Must have the ability to make independent decisions and strong problem-solving skills.
Must comply with all existing practices and HIPAA compliance guidelines.
Ability to communicate appropriately with team members, staff, residents, facilities, and outside agencies.
Experience with Electronic Medical Records Software, Point Click Care, Waystar Clearinghouse, e-solutions, Microsoft Office Suite

Quick Apply

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direct care specialist 3rd jobs in cleveland, oh

SNF/LTC - Medicaid Billing Specialist

Senior Salesforce Administrator

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