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Billing Coordinator or Accounts Receivable Coordinator

Aston Health

Location: Tampa, Florida 33614
Type: Non-Remote
Posted on: September 7, 2022
This job is no longer available from the source.
Job Description SUMMARY:
The Billing Specialist/Accounts Receivable Coordinator will be responsible for the medical billing, collections, patient accounts management, and customer care capacities for our Skilled Nursing facilities.
RESPONSIBILITIES
• Monitor reports and assigned work queues, ensuring coding, charge submission and accounts receivable follow-up is occurring on a timely basis.
• Perform charge reconciliation to validate all revenue is captured.
• Maintains awareness of changes in regulatory and third-party guidelines which pertain to billing processes.
• Review unbilled charge reports and follow up with physicians and/or practice management for unbilled services.
• Identify coding or documentation issues and suggest improvements to physicians.
• Work with front-end staff to ensure patient insurance information and benefits are verified accurately and timely.
• Act as a resource to front end practice staff to identify gaps in financial clearance processes.
• Reviews medical records upon completion of treatment to ensure that all services billed have been documented to ensure compliance with government regulations.
• Identifies and captures missed charges and errors and notifies management and staff.
• Assists in the development and documentation of policies and procedures.
• Review and respond to facility, physician, and patient inquiries following required guidelines, payer rules, compliance regulations and related rules.
• Serve as resource to regarding local and national coding and reimbursement policies.
• Collaborate with the corporate Operations to understand CPT and ICD-10 guidelines, payer policy and procedure manuals, updates, and CMS publications to ensure practices are compliant with current policies and procedures.
• Train physicians, other staff, and management, as needed.
• Adhere to general practice and specific guidelines on compliance issues and patient confidentiality.
• Prepares status and ad-hoc reports in accordance with departmental guidelines.
• Meets quality and productivity targets.
QUALIFICATIONS:
• Prior experience within the skilled nursing, long-term care industry
• Must have Medicaid experience
• Ability to multi-task and prioritize.
• Good communication, interpersonal and computer skills.
• Ability to develop and maintain effective working relationships with staff and patients.
• Detail oriented with high level of accuracy for reviewing charge batch submissions, preparing and presenting analyses.
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