Medicare Bad Debt Specialist

JOB PURPOSE:

Compilation and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis. Calculation of allowable Medicare bad debt claims based on third party documentation in accordance with Federal regulations.

• Download and review weekly Medicaid remittance advices from the State Medicaid web portal for each facility.
• Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance advice.
• Adjust and/or correct Medicare Part A coinsurance crossover claims in the Medicaid web portal as needed.
• Verify and document the Medicaid eligibility for each resident’s dates of service for each Medicare Part A coinsurance crossover claim.
• Complete the Bad Debt Listing per documentation for each Medicare Part A coinsurance crossover claim.
• Ensure the allowable bad debt amount for each Medicare Part A coinsurance crossover claim is written off correctly in Matrix Care.
• Review each facility’s Bad Debt Listing for possible updates and/or changes needed prior to filing the annual Medicare Part A cost report.

High School Diploma

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