Job Description
Need to have experience in Medicare and Medicaid and insurance billing.
Position Purpose:
This position is responsible for prioritizing and batching material for data entry which requires knowledge of technical material. Must be capable of high-volume data entry. Assistant Business Office Manager will review, post, and submit claims that are compiled on a daily basis through the Practice Management System. This position will also be responsible for statement processing and posting payments and adjustments to patient accounts and assisting with Sliding Fee Scale applications and audit processes.
Essential Functions of Position: The following information is intended to be representative of the essential functions performed by incumbents in this position and is not all-inclusive.
- Process insurance claims to various types of insurances and self-pay patients
- Research and communicate with insurances and third parties regarding claim denials
- Make necessary billing/coding corrections and refile denied claims for reprocessing
- Help Business Office Manager process and post patient payments
- Prepare and mail weekly patient statements
- Answer patient inquiries regarding account status
- Identify, research and resolve patient billing issues
- Contact patients regarding collections of past due account balances
- Work with patients to establish self-pay arrangements and payment plans
- Review and research bad address files
- Assist with provider insurance credentialing duties
- Assist with Sliding Fee Scale application and audit processes
- Assist with reports to maintain federal funding as requested
- Assist with updating policies, procedures, and forms
- Participate is staff meetings and other meetings as instructed
- Adhere to the Mission and Values of Santa Fe Care Center
- May be asked to perform other duties that align withmission, including but not limited to participation on clinical committees, providing education, Quality Review and/or other activities.
Education / Requirements:
- Excellent communication skills
- Attention to detail
- Computer knowledge
- Medical Terminology
- Experience in coding and charge entry
Minimum Requirements:
- Ability to perform each position responsibility satisfactorily with or without reasonable accommodation. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the position.
- Ability to understand that safety is a condition of employment. Unsafe acts or conditions will be reported to the supervisor.
- Must be able to read, write and speak English.
Education and/or Experience:
- High School diploma or equivalent.
Numbers & Facts
| Location | Santa Fe, New Mexico |
| Industry | Other/Not Classified |
| Website | http://www.santafenursing.com/ |
About Company
Making the decision to place a family member in a nursing and rehabilitation center is one of life’s most difficult and emotional challenges. It’s often a decision that occurs when the physical, emotional and economic burdens of home care are at their peak.
When it becomes apparent that placement is the best answer for all concerned, Santa Fe Care Center offers a comforting solution… nursing care that combines a standard of excellence with a traditional sense of caring. At Santa Fe Care Center, the pleasures of everyday life are not lost to routine. Our friendly atmosphere and clean environment are designed to encourage social interaction and a real sense of community.
Skills
- Administrative Skillsunmatched
- Billingunmatched
- Business Processesunmatched
- Claims Processingunmatched
- Communication Skillsunmatched
- Credit and Collectionsunmatched
- Data Entryunmatched
- Detail Orientedunmatched
- English Languageunmatched
- Establish Prioritiesunmatched
- Fundingunmatched
- Insuranceunmatched
- Mail Processingunmatched
- Medicaidunmatched
- Medical Billingunmatched
- Medical Terminologyunmatched
- Medicareunmatched
- Office Managementunmatched
- Past Due Accountsunmatched
- Problem Solving Skillsunmatched
- Provider Credentialingunmatched
- Resolve Customer Issuesunmatched
- Training/Teachingunmatched
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