Massachusetts Veterans Jobs

Analysis, billing, follow up and collection of all assigned facilities patient receivables. This is accomplished by using knowledge of third-party reimbursement, IHC policies and collection techniques and accounting principles to insure the timely financial resolution of each account. All responsibilities will be conducted in a manner that exhibits the Integritus Healthcare mission, vision, and core values. ESSENTIAL JOB FUNCTIONS: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. - Responsible for the complete and accurate resolution of all resident account balances for as many as 3 facilities. Total individual facility accounts receivable balances range between six hundred thousand to 3 million dollars - On a daily basis work directly with Facility Bookkeeper or Nursing personnel to obtain needed information to submit all accounts or resolve disputes with third party insurance - Responsible for achieving budgeted cash targets for assigned facilities. - Responsible for achieving budgeted days in Accounts Receivable for assigned - Participate on a monthly basis in Accounts Receivable meeting with Administrator, Facility Bookkeeper and Director of Patient Accounts. Prepare and present underlying support for - Manage Accounts Receivable meeting when Director is - Train facility personnel when Trainer is - Cover facility bookkeeper position during - Submit claim forms, turnaround documents or electronic files for all third-party claims within 5 days of month end. Completion of forms following Federal and State specific - Reconcile all accounts using general accounting principles to ensure balances are accurate. Prepare adjustments for data entry when necessary. - Maintain adequate control files to allow for ongoing assessment of timely payments by all third - Write appeal letters to third parties. - Respond to questions and calls from residents and their - Make recommendation and prepare any necessary paperwork on potential bad debt - Analyze and prepare refund request forms within 30 days of credit - Analyze and prepare all adjustments, refunds, remittance advice\'s and account changes for approval by Director and for data entry by designated - Generate and complete month end close - Respond to questions from Lead Biller and Director re activity that has occurred throughout the month. - Collaborate with accounting staff during financial statement - On a quarterly basis prepare credit balance report for submission to Medicare - Generate, sort and review all private statements for accuracy. Make any adjustments if required. Mail to residents the same day received from MIS - Review all remittance advices received for any denials and for accurate payments. Do not allow any claims to deny for failure to submit with in filing deadlines - Must be able to read, write and speak English effectively and communicate written and verbally. - Performs all job responsibilities in accordance with safety and infection control policies and procedures. - All responsibilities will be conducted in a manner that exhibits the IHCS mission, vision, and core values. QUALIFICATIONS: - 2 years Medical Billing Experience preferred. Nursing Home Billing experience preferred. - 1-2 year\'s Business/Financial accounting college courses/degree or additional comparable work experience. Must have demonstrated knowledge of General Accounting Principles. For additional information and to apply for the Healthcare Billing Specialist with Integritus Healthcare please click here.{target="blank" rel="noopener noreferrer"}