Medical Billing Analyst

Company: Regency Integrated Health Services
Location: Victoria
Posted on: January 9, 2022

Job Description:

Job DetailsLevelUndisclosedJob LocationRegency Corporate Office - Victoria, TXRemote TypeN/APosition TypeUndisclosedEducation LevelUndisclosedSalary RangeUndisclosedTravel PercentageUndisclosedJob ShiftUndisclosedJob CategoryUndisclosedDescriptionThe essential functions for the AR Analyst is to bill required claims within manner, filling, and ensuring that payments are received. Each AR Analyst has a monthly goal to meet. The AR Analyst is responsible for: Managed Care, Medicare, and Medicaid Billing by set deadlines by Supervisor for assigned facilities.Working Claims Rejections and Denials in a timely manner and within the parameters set forth by Supervisor.Held Claims daily follow up and documentation until claims release.Claims follow up until payment date is assigned on all claims for assigned facilities.Posting payments and reconciling cash monthly for MCO and Medicaid payers (cash logs to be reconciled with check registers to verify all payments have been posted for month).Aging Review and Clean Up for assigned facilities. This includes re-classing and census line corrections as identified during such reviews.Appeals and reconsiderations for each resident in MCD or MCO payers for facilities assigned.Notifying ADR team regarding denials or additional documentation requests as identified for medical necessity or medical records requests. Claim corrections due to coding issues will be handled by the assigned biller.MXA and MCO Coinsurance billing as required by either BOM notification via email (within 24 hours of receipt) or by aging review once Medicare claim has paid date.Reporting issues with specific payers to VP of AR so that complaints are addressed timely and with the appropriate State departments as the need arises.Effective communication from central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned.Keeping accurate and up to date billing notes in AHT or PCC for all accounts worked in MCO and Medicaid Payers.Bad Debt completion on Past Filing Deadline receivables if required due to failure to re-class and bill timely or failure to submit clean claim within billing time frames as prescribed by each MCO or MCD payerQualificationsPrior medical billing experience required, skilled nursing is preferred. Point Click Care Software, Simple LTC software experience is a preference. Must be able to work well with others as a team and have strong customer service, organization, and communication skills.Must have obtained high school diploma or GED. Regency Integrated Health Services is an Equal Opportunity Employer. Regency does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, disability status, national origin, veteran status or any other basis covered by appropriate law. All employment decisions are based on legitimate, non-discriminatory criteria.

Keywords: Regency Integrated Health Services, Victoria , Medical Billing Analyst, Professions , Victoria, Texas