- High School Diploma or Equivalent
- Experience in claims processing along with rules and regulations relating to Medicare, Managed Care and third party payers.
- Knowledge of Medicare, Managed Care and Insurance reimbursement systems, including billing forms and requirements for various third party payers in the States where BHS Communities are located (Minnesota, Wisconsin, Missouri, Illinois, and North Dakota).
- Knowledge of and skill in using computers and related software for word processing (such as Word), spreadsheet (such as Excel) and accounting software such as billing and clearinghouses.
- Two year business or accounting degree.
- Accounts Receivable long term care billing experience
- Knowledge of regulations affecting facility business offices.
- Manage accounts receivable billing and collection of payments for all designated payers and designated locations in order to meet and maintain goals.
- Monitor Medicare, Medicare Advantage, Managed Care, Insurance and other designated payer sources as assigned to ensure billing and claims are accurately and timely filed on behalf of their designated facility for both Primary and Secondary payers.
- Monitor A/R aging, accessing the accounts for further attention by involving the A/R and Billing Supervisor and/or Nursing Home Administrator.
- Comply with all related laws and regulations pertaining to the position and for fulfilling the obligations under the BHS Corporate Compliance Program.
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