Responsibilites:Greets each client/patient and directs them to appropriate staff member. Answers phone and directs all calls to appropriate staff. Identifies payer source and works directly with physician offices, insurance companies & case managers to obtain referrals and prior approvals for admission, as needed. Determines co-payments for services to be performed & informs client/patient of the amount they are responsible for. Schedules and conducts admission interviews with new residents/responsible parties for the purpose of signing all appropriate admission documentation and to begin an orientation process with those parties. Communicates with insurance companies for update, authorizations and verifications of services to be provided. This includes but is not limited to providing appropriate documentation to insurance companies on a timely basis. Maintains updated list of insurance contacts, phone & fax #'s
Collects co-payments at time of visit and also any other payments as received by client/resident. Assists insurance companies, physician's offices and other related services with billing information keeping within resident confidentiality limits. Responsible for generating billing for designated payers, including Medicare B, Commercial Insurance, Medicaid and other payers for Outpatient Therapy. This includes preparation and sending of bills/invoices both manually and/or electronic. Reviews all Medicare and other insurance remittances for denied and/or pended claims. Adjust claims as needed and rebills Medicare or other payer as needed. This includes contact with county officials, insurances and residents /responsible parties to resolve issues.
Qualifications: Minimum of two (2) years administrative secretarial experience. Must possess Medical Billing experience.