Billing/ar Representative
Hebrew Rehab Center (Boston, Massachusetts)

Hebrew SeniorLife is more than you ever realized. We are an integrated seven-site system of housing, health care, research and teaching that has served thousands of seniors in the Greater Boston area for over 100 years. At Hebrew Rehabilitation Center, we are dedicated to offering the highest quality of life by providing the highest quality of care. Hebrew Rehabilitation Center is about more commitment...more opportunity...more life.

Primary Duties  Perform Accounts Receivable claim preparation and collection tasks for Inpatient long term care, Outpatient, Skilled Nursing Facility and LTCH (Long Term Care Hospital) services. Interact/contact/write correspondence with outside personnel from insurance companies to resolve problems associated with billing and collection of payments due.

Position Accountabilities:
· Submit/bill Medicare SNF, OPD, & inpatient ancillary claims & maintain follow-up of suspended claims; correcting those claims on-line via Medicare dial up.
· Use PRO-32 to bill claims to Medicare and consistently review, update, & transmit claims from suspended categories.
· Bill/follow-up Commercial Insurance, Medex , Supplemental insurance and Medicaid crossover claims relating to Inpatient, SNF and LTCH after payment by Medicare.
· Assist with the submission of Physician claims to Medicare and other Third party payors.
· Working with immediate supervisor following Departmental procedures, review Accounts Receivable Trial Balances and identify unpaid or underpaid claims; determine reason(s) for balance and take appropriate steps to contact appropriate party to resolve payment issue(s).
· ?Maintain Tickler file of Outstanding Accounts (O/S) to include telephone notes based on work to resolve outstanding issues. Keep accurate notes of all activity.
· Analyze remits and resolve denials for Medicare claims, assist as needed with Medicaid claims.
· Assist with Monthly Cash Posting of Third Party cash receipts and balance to Cash Journal.
· Review Medicare paid claims for difference between expected and paid amounts; work to identify and resolve the differences.
· Assist in the billing and collection of Inpatient/Outpatient Third Party Claims to Medicaid as needed.
· Perform other related duties as required


Qualifications
Bachelors degree preferred; One to two years of related experience; Requires knowledge of third party billing and collection procedures, maturity, organization skills, basic math skills, and attention to detail; Strong computer and excel skills, analytic skills, attention to detail; Customer service and teamwork focus.