Third-Party Billing, Specialist. Full Time
Chesterfield, Missouri
Employer: Frontier Management
Industry: Healthcare
Salary: Competitive
Job type: Full-Time
The Third-Party Billing Specialist is responsible for generating Medicare and Medicare Advantage Part A claims in collaboration with the Friendship Village's Skilled Nursing facilities to assure Skilled Nursing billing is done timely and accurately.
KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS:
EDUCATION AND EXPERIENCE:
KEY RESPONSIBILITIES AND ESSENTIAL FUNCTIONS:
- Compiles and inputs data for skilled & Medicaid residents at all FV campuses.
- Inputs data for HMO, Medicaid, Secondary Insurance, Medicare Part A & B claims for both campuses.
- Generates Medicare and Medicare Advantage Part B therapy claims
- Bills Medicaid claims using Missouri HealthNet Portal
- Uses Medicare DDE and Clearinghouse for billing Medicare Part A and B claims.
- Reviews and corrects UB04's before and after triple check meetings.
- Monitors Aging reports and follows up on overdue accounts.
- Responsible for monitoring Third Party cash postings.
- Processes necessary reports to support billed claims. Maintains backup and support documents.
- Maintains computer files and data in an organized fashion.
- Other duties and projects as assigned.
EDUCATION AND EXPERIENCE:
- • High School diploma or equivalent required.
- • Minimum 5 years relevant Third-Party claims billing experience.
- • Accounting experience preferred.
- • Great attention to detail
- • Strong analytical, quantitative and problem-solving skills
- • Excellent verbal and written communication skills
- • Demonstrate the highest level of customer/client service and response.
- • Maintain strict confidentiality in working around confidential or sensitive materials or conversations.
- • Ability to manage multiple projects, prioritize, and meet deadlines.
- • Work collaboratively in a team environment that promotes inclusiveness and communication among team members.
Created: 2024-09-07
Reference: 1369905
Country: United States
State: Missouri
City: Chesterfield
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