AR Billing and Collections Specialist (Medicaid)

Job Overview:An extraordinary opportunity to be a part of a culture you can be proud of by joining one of the nations top Long Term Care, Skilled Nursing health care providers in our dynamic Central Billing Office located in Maitland, Florida. Come join our Accounts Receivable Team! As one of America s top leading providers of medical services and rehabilitation for elderly patients in communities across the nation, Consulate Health Care provides the highest standard of services for short-term and long-term care needs. Even as we ve grown to become the sixth-largest provider in the nation, it s the little things we do while fulfilling our mission statement of Providing Service with Our Hearts and Hands that really make the difference. A position with Consulate Health Care means more than just a paycheck. We believe in creating a positive environment that reinforces your efforts to succeed and supports your long-term career development. We offer the opportunity to work with large corporation, but with the benefit of a small company feel! As anA/R Billing and Collections Specialist, you will be responsible for the timely billing and collections of all assigned payers. This includes the monthly billing of all accounts from the previous month, follow-up on billing to ensure receipt by payers, resolving outstanding balances with payers to ensure all payments are received timely and correctly, filing of co-insurance accounts to appropriate payers, tracking of cash collected for payers, and documenting all activities in appropriate systems. This position is a non-supervisory function. This job description does not list all the duties of the job. You may be asked by supervisors or managers to perform other duties. You will be evaluated in part based upon your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time, for any reason. Duties/Responsibilities: Generate timely billing of assigned payers Ensure claims are received and processed by payers Review A/R balances to ensure timely and accurate payments are received Maintain current and accurate computer data including documentation of all account activity performed in A/R systems Bill all co-insurance accounts per payer specific guidelines Complete cash logs as required Establish and maintain communication with Business Office Mangers, Regional Directors of Business Office Services and others responsible for payment of resident care services; ensure all are kept current regarding account status Review and understand correspondence received from third party payers including remittance advices, Explanation of Benefits, denial letters, etc. Adhere to all established goals and be able to explain variances to goals Attend meeting and in-service training sessions, as appropriate Prepare and submit reports in regard to billing and accounts receivable, as required Maintain compliance with all state, federal, and government agencies. Embrace Consulate s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them into one s daily job function. Demonstrate respect and compassion in every interaction. Conduct oneself with the highest degree of honesty and integrity in every interaction. Comply with all safety policies, practices and procedures. Report all unsafe activities to supervisor and/or Human Resources. Participate in proactive team efforts to achieve departmental and company goals. Provide leadership to others through example and sharing of knowledge/skill. Perform all other business-related duties as assigned. Position Requirements: Associates degree or equivalent from two-year college or technical school; or six months to one year of related experience and/or training; or an equivalent combination of both education and experience. A minimum of one (1) year experience working in the business office of a healthcare facility required; Skilled Nursing Facility billing and collections strongly preferred. Must possess knowledge of and demonstrated skill with pertinent billing software. Must have experience with Excel and Microsoft Word programs. Company Overview:Where Will Compassion Take You? At Consulate Health Care, we're looking for talented, compassionate and hard-working individuals who are eager to serve others. Our team members go above and beyond to give our residents and patients the care they deserve so you'll find that every day with Consulate Health Care offers new and exciting opportunities to learn and grow. Compassionate hearts and passionate dedicationthese two qualities shine in our team members and provide the foundation for our mission ofProviding Service With Our Hearts and Hands. The compassion you'll show to residents, patients and their families is the lifeline of our business, while relationships with your peers and coworkers will strengthen our vibrant, diverse community. Consulate Health Care is one of the nation's leading providers of Senior healthcare services, specializing in post-acute care. Operating nationwide, we offer services ranging from short-term transitional care to Alzheimer s and dementia care. 24-hour skilled nursing care Comprehensive post-acute care Physical, Occupational and Speech therapies "Your Journey Home"short-term rehab program Alzheimer's and dementia care Care for medically-complex patients