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Form of workDue to increased business, Richter and Associates have an opening for a remote Medicare Billing Specialist to join our remote team!
Richter is a privately ownedand operated company specializing in RCM accounting and clinical/financial consulting for our clients for over twenty-four years! Richter Healthcare Consulting is seeking an experienced long-term care Medicare Billing Specialist to join us in providing care, innovations, and results to every client experience!
Job Responsibilities
- Completes billing and collection efforts
- Performs patient account analysis
- Completes basic Electronic Medical Records functions
- Generates and submits clean claims for all pay sources timely and accurately
- Documents billing and collection activities by Richter Healthcare Consultants policy and procedure
- Works effectively within the client and/or Richter Healthcare Consultants billing systems
- Effectively communicates and responds to inquiries by client staff, co-workers, and other party representatives
- Analyzes and problem-solves when faced with obstacles
- Effectively prioritizes and manages time to accomplish project goals and expectations
- Communicates the status of projects to the team leader/manager on a daily or weekly basis depending on project requirements
- Prioritizes accounts by age and amounts
- Analyze each account to verify the accuracy of the balance
- Resubmits and/or follow up on outstanding accounts
- Performs all denial management and collections procedures to obtain payment
- Documents all activities on client AR thoroughly in billing software
- Reports project status to client weekly via reports, documentation in software, or AR calls as directed
- Review all claims prior (triple check process) to submission to ensure compliance
- Review outstanding Accounts Receivables and create an action plan to receive payment
- Respond to clients' questions within 24 hours.
- Identifies and escalates potential at-risk accounts the following to direct supervision
- Performs other duties as assigned
Qualifications:
- High School Diploma or equivalent, College Degree preferred but not required
- Proficiency in Microsoft Office Suite
- Experience with Electronic Medical Records Software, Clearinghouse, and e-solutions, preferred but not required
- Point Click Care and Waystar experience required
- Ability to communicate professionally
- Must possess critical thinking skills and the ability to work independently
- Must possess extensive knowledge of third-party payer types, as well as laws, regulations, and guidelines that pertain to healthcare providers
- Minimum two years of claims processing experience, preferably with Skilled Nursing or Long Term Care billing
Experience:
- PCC: 1 year (Preferred)
- LTC/SNF: 1 year (Preferred)
- Medicare: 1 year (Preferred)
- Medicare billing with LTC: 1 year (Preferred)
Richter is an Equal Opportunity Employer.Richter does not discriminate based on race, ancestry, national origin, color, religion, gender, age, marital status, sexual orientation, disability, veteran status, or any other protected classification under the law.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
- Work from home
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- Remote
Work Location: Remote
