QNS Recruiting

  • Medicaid Specialist

    Posted Date 3 weeks ago(2/6/2020 10:16 AM)
    Job ID
    2020-6315
    Company
    Colonial Park Care Center
    Location
    US-PA-Harrisburg
    Category
    Medical Records
    Type
    Regular Full-Time
    Education Level
    High School Diploma or Equivalent - Required
    Experience Needed
    3-5 years
    Salary Info
    Based on Experience.
  • Overview

    Medicaid Specialist

     

    Full Time - Harrisburg, Pa

     

    Colonial Park Care Center is a comprehensive skilled nursing facility dedicated to providing high-quality Resident-Focused care. Through its comprehensive onsite services including cardiac, orthopedic, wound and dementia support, Colonial Park is helping its clients maximize and enhance their health, well-being and overall quality of life.

     

    Colonial Park Care Center continues to grow and thrive, its team is expanding and requires significant administrative support. The Medicaid Specialist is an important piece of this evolution, managing the day-to-day billing for the center and its residents.

     

     

    Responsibilities

    Responsibilities of the Medicaid Specialist include but are not limited to:

               

    • Maintaining Medicare/Medicaid and third party billing, and following up to ensure prompt payments 
    • Ensuring excellent communication and customer service is maintained, building relationships in difficult situations. 
    • Maintaining accurate accounts receivable records to maximize incoming revenue, and troubleshoot all late accounts 
    • Securing necessary medical documentation requested by insurance companies and third-party payers 
    • Processing all rejections and determining a strategy to correct billing errors and generate accurate resubmissions 
    • Engaging medical record staff and physicians to determine proper diagnoses/procedures to report to residents’  insurance companies
    • Posting third-party insurance remittance vouchers 
    • Preparing resident billing for third-party services 
    • Other billing-based duties, as needed

    Qualifications

    Requirements of the Medicaid Specialist:

    This position requires a versatile, independent and detail-oriented professional, with at least one year of experience in medical billing or related, preference toward an associate’s or bachelor’s degree in a relevant field. Candidates are expected to have a working knowledge of electronic billing procedures and best practices, as well as general computer/software usage.  Medicare knowledge is required.

     

    Colonial Park Care Center

    6800 King Russ Rd

    Harrisburg, PA 17109

     

     

     

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