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Manager of Nursing Home Billing
Description
Manager of Nursing Home Billing-New York, NY
A New York based Nursing Home and Adult Day Care program, currently seeks a seasoned professional for the position of Manager of Billing.
Responsible for the overall function of the Accounts Receivable department for a Nursing Home program and Adult Day Care program. Oversee effective daily operations to support maximum activity and optimal use of electronic systems. Interface with the Admissions department to ensure that the accuracy and integrity of data gathered meets required billing guidelines. Knowledge of NAMI, Medicaid , Medicare , Managed Care and related third party Carrier rules , regulations , policies and procedures is essential . The candidates will also be responsible to ensure claims are processed within regulatory timeframes , developing and analyzing data , and assist in implementing quality improvement measures . Responsibilities include, researching and reviewing all payment discrepancies , assist in developing control procedures to ensure proper billing and collections are made . In addition, the candidate must have knowledge of the rules and regulations on completing, Medicaid applications . The candidate will also need to ensure applications are submitted to HRA and follow up on a timely basis .
Job Responsibilities Include:
1. Knowledge of NAMI, Medicaid, Medicare, Managed Care and related third party carrier rules, regulations, policies, and procedures is essential.
2. The candidate will also be responsible to ensure claims are processed within regulatory timeframes, developing and analyzing data, and assist in implementing quality improvement measures.
3. Responsibilities also include researching and reviewing all payment discrepancies, assist in developing control procedures to ensure proper billing and collections are made.
4. In addition, the candidate must have knowledge of the rules and regulations on completing Medicaid applications.
5. The candidate will also need to ensure applications are submitted to HRA and follow up is done on a timely basis.
Additional Responsibilities:
• Submit electronic billing on Exchange
• Ensure Medicaid applications are submitted on a timely basis
• Follow up on denials
• Provide timely notation of action taken on patient accounts and produce status reports
• Perform month end closing
• Perform other duties as assigned by the department head
Requirements
Job Requirements Include:
1. At least three years experience, and must possess hands on experience with computerized billing systems.
2. The candidate must have knowledge of the Emedny/Epaces and Omnipro.
3. In addition, the candidate must have experience with Microsoft Word, Excel, and Outlook. The candidate must also be well organized and detail oriented. Knowledge of the ADL billing system is required.
We offer a full comprehensive health care package, vacation, personal and sick time. If you meet these qualifications and are interested in this position, please submit your resume to: [Click Here to Email Your Resumé]