Job Description

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Summary:

The Billing Specialist focuses on billing third party payors. Responsibilities include correcting, completing and processing claims of all payor codes. This position is also responsible for performing a wide variety of clerical, reconciliation, intermediate accounting and statistical duties.

It is the duty of all employees to promote and support a resident centered care environment that ensures the treatment of all residents, family members, visitors, fellow employees and customers with kindness, respect, and dignity.

Essential Duties And Responsibilities:

1. Commit to the Vincentian Collaborative System (VCS) mission to nurture and sustain a ministry of compassionate care that preserves the human dignity of persons within a diverse and changing society.

2.Uphold and promote the VCS values of spirituality, compassion, quality, dignity, collaboration, advocacy and stewardship.

3.Promote and support a resident centered care environment that ensures the treatment of all residents, family members, visitors, fellow employees and customers with kindness, respect, and dignity.

4.Review and submit claims for Medicaid, Medicare, Managed Care, Highmark Episodic, and other insurances, including knowledge of 360 and 180 day exception claim processing.

5.Review, correct with appropriate department, and resubmit returned/rejected claims, contacting insurance companies if needed.

6.Pull electronic remittances from clearinghouse, enter cash receipts and assure correct allocations for insurance payments in PointClickCare.

7.Perform monthly, closing and balancing no later the 5th of every month.

8.Act as backup to the Senior Business Office Manager.

9.Handle incoming billing related calls.

10.Assist with monthly review of A/R.

11.Knowledge of ICD-10 and CPT coding a plus

12.Experience with MSP billing a plus

13.Performs other duties as required.

Education/Experience:

1.High school graduate or equivalent required. Associate degree, technical degree or completion in a certificate program in medical insurance billing or similar field preferred.

2.Minimum of one (1) year experience in handling billing and accounts receivables in a long term care environment required

3.Experience with Medicare and Medicaid billing procedures required.

Vincentian is an Equal Opportunity Employer Vincentian Collaborative System

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