8 DAYS AGO
Full Time
Together, our Resident Core Values and Team Core Values define Mission Health's commitment to the principals of Wellness and Enrichment. We believe our focus on the overall wellness of our residents and our commitment to enriching their lives makes us different from others in our industry.Mission Health has an excellent opportunity for an experienced Corporate A/R Collections Consultant who will be responsible for billing and follow up on assigned payers. This will include Medicare, Managed Care and Medicaid claims.ESSENTIAL FUNCTIONSThe Essential Functions are the fundamental duties of this position. The employee holding this position must be able to perform these tasks satisfactorily.Core Competencies:* Strong analytical and problem-solving skills* Strong knowledge of revenue cycle systems applications, billing and reimbursement rules and regulations for the state medical assistance program, Medicare and Commercial payers.* Excellent organization skills* Strong collaboration and communication skills* Ability to create detailed and summary reports for management and leadership understanding of issues, projections and affects of activities* Ability to multitask and meet deadlinesDuties and Responsibilities:* Work the defined / assigned Skilled Payers* Knowledge of Billing and Following up on Skilled Medicare, Managed Care and Insurance claims* Prepare and submit monthly claims to appropriate payer* Follow up timely on unpaid, underpaid or denied claims* Create, update and maintain a tracking system for claim follow ups* File appeals to appropriate payers when necessary* Communicate with facility BOM when census changes are needed* Ensure claims do not miss the filing deadline and become untimely bad debt* Understand commercial payer contract terms and fee schedules* Follow up on Insurance claims via payer websites and any other tools available* Make recommendations for improved efficiencies in processes and policies and procedures when appropriate* Adherence to company policies and procedures, HIPAA, agency and governmental rules, laws and regulations* Escalate issues to the Director of Revenue Cycle as appropriate* Travel up to 10%Required:*
• Education* Minimum Associates Degree* Work Experience* Four (4) years experience with government payer billing and collections* Excel, Power Point and Word use* Analytical and problem solving* Ability to maneuver and obtain data from payer portal related to claims and patient accounts* Experience with healthcare billing and collections systems applications* Strong experience with payer portals* Thorough knowledge of state and federal regulations over long term care* Point Click Care experience* DDE/FISS experience; Availity; E-SolutionsThe position will be based out of our Home Office in Tampa, FL. Near the corner of Bay to Bay and Bayshore in South Tampa.
Location/Region: Tampa, FL (33602)