Billing Associate

Key Responsibilities

• Perform face-sheet and census entry for accurate billing.
• Verify primary and secondary insurance coverage on residents.
• Provide customer service and problem resolution to facilities and residents.
• Handle account reconciliation and account refund requests.
• Perform complex account reconciliation.
• Process account adjustments and bad debt.
• Manage third party, Medicare, Managed Care, and private billing, including claim corrections and follow-up.
• Track and re-bill pending Medicaid accounts.
• Re-bill claims as needed.
• Identify pattern problems (e.g., improper patient demographic data, missing insurance information), initiate corrective actions, and notify management.
• Maintain accurate records of all work performed on an account, including letters, telephone conversations, charges, and payments.
• Recognize and rectify any errors made within an account.
• Set up Lawson accounts for facility and private pay.
• Complete the month-end closing process within the scheduled deadline.
• Assist in special projects as required.
• Complete all mandatory and regulatory training programs.
• Perform other duties as assigned.

Qualifications

• Works with minimal supervision.
• May assist in orienting and training new employees.