About the job
**Now Offering DailyPay**
Overview
Otterbein SeniorLife is seeking a dedicated Medicaid/Medicare Billing Specialist to join our team. In this vital role, you will support our Accounts Receivable department by managing Medicaid and Medicare billing processes.
At Otterbein, we value every team member as a partner in caring. Our commitment to person-centered care ensures that we honor the choices of our residents while providing compassionate and high-quality services. Join our diverse team of talented individuals who embody kindness, wisdom, and generosity.
For more information about Otterbein SeniorLife Community Franklin, visit: https://otterbein.org/find-a-location/franklin/
Summary:
Essential Duties and Responsibilities include, but are not limited to, the following:
- Verify the census of Medicaid and Medicaid waiver residents and add payers.
- Confirm Rehab Stay census and attach appropriate payers.
- Assist with Medicaid applications.
- Act as authorized representative for families and Otterbein, submitting necessary documents.
- Conduct FSSA phone interviews and manage correspondence with requests.
- Process monthly Medicaid billing with the State and all three Managed Care Entities (MCEs).
- Handle all monthly Medicare insurance billing.
- Monitor Daily Data Entry (DDE) system for Medicare claims status, making necessary corrections and adjustments.
- Submit no-pay claims.
- Prepare private billing statements for Skilled Nursing Facilities (SNF).
- Track past due balances and contact responsible parties for collections.
- Verify Medicaid eligibility for each resident for the month preceding billing.
- Prepare and track deviation bills for Medicaid residents with prior private balances.