Coordinator Medicare​/Medicaid Collections

Responsibilities

• Enter admission and claims information into system.
• Review Medicare accounts for necessary information required.
• Respond to technical help letters.
• Review and make all necessary corrections and adjustment to claims.
• Review Medicaid admissions daily for eligibility and third party payer information.
• Review Medicaid Pending Report on a regular basis and perform any necessary follow up.
• Prepare accurate billings and submit to the appropriate state Medicaid System using electronic claims submissions when possible.
• Contact teams and medical records to obtain information as needed.
• Analyze and maintain required documentation for prompt and accurate billing and collection.
• Review Billing and Collections reports for unbilled claims and bill as appropriate.
• Communicate with appropriate state agency, as needed.
• Perform timely account follow up activity and review and correct claims that have been denied or suspended on weekly Medicaid Remittance.
• Review and make all necessary corrections and adjustments to billing including posting applied income amounts and changing financial class when appropriate.
• Review Aged Trial Balance Report (ATB) on a regular basis to monitor collection progress and locate any possible problem areas.
• Work with Hospices to obtain Medicaid Numbers for patients that are in any Medicaid Pending category.
• Recommend and forward uncollectible accounts to your supervisor for final review.
• Assist department management as needed.
• Perform related duties as required.

• Proficient in MS Word, Outlook, and Excel.
• Good math, typing and communication skills.
• Ability to work on various assignments simultaneously.

Completion of high school or basic education equivalency preferred.

EOE/AA M/F/D/V

Mid-Senior level

Full-time

Accounting/Auditing and Finance

Hospitals and Health Care