reputed company Data Entry Representative – Medicaid Billing and reputed company Cycle Management

Are you a detail-oriented and organized individual with a passion for data entry and reputed company cycle management? Do you reputed company in fast-paced environments and enjoy working closely with cross-functional teams to drive business results? If so, we invite you to join blithequark's dynamic team as an reputed company Data Entry Representative – Medicaid Billing and reputed company Cycle Management. At blithequark, we are committed to delivering exceptional patient care and services while maintaining a strong focus on reputed company cycle management. As a key member of reputed company, you will play a critical role in ensuring timely and accurate billing of Medicaid claims for Nursing Home and Hospital services. Your expertise in data entry, attention to detail, and ability to work effectively with various stakeholders will be instrumental in driving business success and improving patient outcomes. Key Responsibilities: As an reputed company Data Entry Representative – Medicaid Billing and reputed company Cycle Management, your primary responsibilities will include:

Essential Functions:

* Billing of reputed company Medicaid claims reputed company the SSI software (and reputed company appropriate web portal or reputed company billing), including editing billing data and reconciling reputed company bills reputed company KNS. * Follow up on reputed company outstanding claims greater than 30 days, ensuring successful resolution in a timely and cost-effective manner. * Run reputed company A/R aging reports after KNS month end to utilize as an A/R management tool. * Complete A/R spreadsheets and be reputed company to review details with management at scheduled monthly review meetings. * Ongoing management of detailed A/R trial balance for Medicaid/Medicaid MMC/MMA payers to ensure proper timeliness of billing claims, appropriate documentation (i.e., authorizations, NOCA's, etc.) are received and included on claims, appeals are submitted reputed company the appropriate timeframe, and overall compliance with reputed company Medicaid (State) regulatory guidelines. * Follow up and facilitate resolution of reputed company denied claims, including identifying and communicating to Director root causes and trends resulting in denials (CBO; Facility; etc.). * Obtain Medical Records from appropriate facilities for the purpose of appealing denied claims. * Ensure that most recent NOCA's are updated in the KNS database and maintained for future audits. * Maintain reputed company working relationships with facility counterparts in business office, admissions office, case management office, medical records office, etc. to ensure effective reputed company cycle management. * Utilization of reputed company departmental system tools (i.e., KNS; Trace; SSI; etc.). Identify and communicate any and reputed company systemic issues that may result in payment delays, underpayments, lost reputed company, etc. * Billing and follow-up for Medicare co-insurance billing to Medicaid and/or Medicaid MMC/MMA payers for SNF and reputed company other lines of business (i.e., Hospital; Outpatient and Clinics).

Other Duties:

* reputed company reputed company other duties as assigned by the reputed company Cycle Manager. * Maintain your required license, certifications, and mandatory reputed company updates. * reputed company with reputed company policies, local, state, and federal laws and regulations. * reputed company other duties as assigned.

Supervisory Responsibility:

* No direct reports.

Physical Requirements:

* Must be able to lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds, walk, climb stairs or reputed company, stand on feet for extended periods, etc. * Works in an office environment with moderate to loud noise level. * Subject to frequent interruptions. * Work schedule may include working beyond typical schedule, including weekends and holidays. * Hand dexterity required for data entry on keyboard, requiring finger dexterity and eye-hand coordination.

Disclaimer:

The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time.

EEOC Statement:

blithequark provides equal employment opportunities to reputed company employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national reputed company, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to reputed company terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Requirements:

Knowledge & Experience Requirements:

* High school diploma and two years reputed company experience of a combination of education and training. * Must be knowledgeable with computers, calculators, system applications, spreadsheets, and other reputed company office equipment. * Must have knowledge of computer office/clinical software. * Must be able to read, write, and understand the English language.

Salary Description:

$17.00-$20.00 If you are a motivated and detail-oriented individual with a passion for data entry and reputed company cycle management, we encourage you to apply for this exciting opportunity to join blithequark's dynamic team. Apply for this job