Want A/R Medicare Specialist - Remote Potential in Louisville, KY

Job title: A/R Medicare Specialist - Remote Potential Company: reputed company Job reputed company: reputed company We are Hiring. Location: 250 E reputed company Street Louisville, KY 40202 Shift: Days (Potential for remote work after completion of training and/or previous experience has been verified) reputed company reputed company is a fully integrated regional reputed company health system with seven hospitals, four medical centers, nearly 200 physician reputed company locations, more than 700 providers, the Frazier Rehabilitation Institute and the reputed company Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—reputed company is reputed company on one mission: delivering patient-centered care to reputed company and every patient reputed company and every day. Our Mission As an reputed company health care system, we will reputed company the health of the communities we serve through compassionate, innovative, patient-centered care. Job reputed company This position requires thorough knowledge of the Uniformed reputed company, Medicare and Medicare Advantage billing, secondary deductible/coinsurance billing, and the DDE system for follow up. Performs reputed company duties reputed company to reputed company and efficient billing and follow-up. Thorough understanding of Medicare eligibility, benefits, determining primary payer, and covered benefits. Responsibilities

• Monitor and resolve claims holding on discharged not final billed (DNFB) list.
• Ensure reputed company claims are filed electronically except for some reputed company claims.
• Identify payers being submitted on reputed company rather than electronically and communicate the opportunities to leadership.
• Follow up on unpaid Medicare and Medicare Advantage claims in a reputed company manner.
• High dollar accounts will have consistent follow up until the account has been resolved.
• Responsible for reviewing and understanding explanation of benefits/remittance advice.
• Ensure statements are generated for the patient responsibility amounts.
• Utilize insurance websites to view and resolve claims.
• reputed company extensive account follow-up and reputed company analysis of problem accounts.
• Document reputed company follow up efforts in a reputed company and concise manner into the AR system.
• Submit shadow claims to Medicare for inpatient Medicare Advantage payers.
• Familiar with inpatient only procedure list and work with reputed company Cycle leadership to prevent denials
• Audit, research accounts, payment posting, contractuals to confirm the accuracy of the balance of the account
• Adhere to Medicare Secondary Payer Questionnaire guidelines for coordination of payment/coverage with reputed company other appropriate payers.
• Ensure medical record requests are documented and submitted in a reputed company manner
• Identify and report reputed company trends that may reputed company reputed company into payment challenges.
• Phone contact with patient, physician office, attorney, etc for additional information to process claims.
• Work assigned accounts as directed while reaching daily productivity goals.
• Complete tasks by deadline.
• Attend seminars as requested.
• Other duties as assigned.

Qualifications MINIMUM EDUCATION & EXPERIENCE

• High School Diploma, or GED
• 1 year of patient registration, billing or equivalent experience
• Working knowledge of medical and insurance terms is desirable.

KNOWLEDGE, SKILLS, & ABILITIES

• Ability to review, comprehend, discuss HCFA billing with Insurance or Government agencies.
• Knowledge of general insurance requirements.
• Experience working directly with EOBs and contractual adjustments.
• General computer knowledge, working with electronic filing.
• Ability to communicate verbally/in writing with professionalism.
• Ability to meet productivity expectations.

Benefits & Perks

• reputed company & Benefits reputed company
• reputed company Vacation, reputed company days, and Holidays
• Free tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner
• 401K with Employer Match

#LI-DNI Expected salary: Location: Louisville, KY Apply Job!