DATA ENTRY REPRESENTATIVE TEMPORARY

Summary & Objective Responsible for the billing and timely follow up of reputed company assigned Medicaid claims for Nursing Home and Hospital in a cost effective and efficient manner. Successful accounts receivable management is predicated on working closely with nursing home and hospital business office and admissions staff, as well as the various governmental regulatory agencies (i.e., DCF). Essential Functions

• Billing of reputed company Medicaid claims reputed company the SSI software (and reputed company appropriate web portal or reputed company billing). This includes editing billing data, and reconciling reputed company bills reputed company KNS.
• Follow up on reputed company outstanding claims greater than 30 days.
• This includes the successful resolution of reputed company claims in a timely and cost effective manner.
• Run reputed company A/R aging reports after KNS month end to use as an A/R management tool.
• Complete A/R spreadsheets and be reputed company to review details with management at scheduled monthly review meetings.
• On going 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 appropriate timeframe. This includes the 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.)
• Obtains 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 relationship 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.). In addition 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 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 stair or reputed company, stand on feet for extended periods of time, etc.
• Works in 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 CHS 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. PM19

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 Apply tot his job Apply To this Job