Fairlawn Opco LLC
Managed Care/Medicaid Billing Specialist
Fairlawn Opco LLC, Akron, Ohio, United States, 44329
Managed Care/Medicaid Billing Specialist Fairlawn Opco LLC•Akron, OH, US
Job Description Managed Care / Medicaid Billing Specialist
Facility: Arbors at Fairlawn
We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront. At the end of each day, knowing that you’ve made a meaningful impact in the lives of our residents will be your greatest reward.
Why Choose Arbors?
One of Ohio’s Largest Providers
of long-term care skilled nursing and short-term rehabilitation services.
Employee Focus : We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
Employee Recognition : Regular acknowledgement and celebration of individual and team achievements.
Career Development : Opportunities for learning, training, and advancement to help you grow professionally.
Key Benefits Package Options?
Medical Benefits : Affordable medical insurance options through Anthem Blue Cross Blue Shield.
Additional Healthcare Benefits : Dental, vision, and prescription drug insurance options via leading insurance providers.
Flexible Pay Options : Get paid daily, weekly, or bi-weekly through UKG Wallet.
Benefits Concierge : Internal company assistance in understanding and utilizing your benefit options.
Pet Insurance : Three options available
Education Assistance : Tuition reimbursement and student loan repayment options.
Retirement Savings
with 401K.
HSA and FSA options
Unlimited Referral Bonuses .
Start a rewarding and stable career with Arbors today!
Education and Licensure:
3 years of Billing experience in a Long-Term Care/Skilled Nursing Facility setting.
High School Diploma or equivalent.
3-5 years in accounts receivable in a healthcare environment; preferred
Skills and Abilities:
Knowledge with Managed Care, Medicare, Medicaid, and Coinsurance and follow-up.
Proficient in relevant computer software, Point Click Care, Excel.
Prepare, bill, and follow up on Managed Care claims ensuring timely and proper reimbursement.
Bill and follow up on secondary claims associated with Manage Care primary billing.
Post all payments for Managed Care timely and properly, moving copay amounts to the proper payer source as needed.
Thorough understanding of Managed Care, Medicare, and Medicaid in SNF setting
Thorough understanding of ADRs (Additional Documentation Request) in both Managed Care and Medicare billing
Maintain up to date knowledge of changes in the healthcare industry that affect SNF billing policies and procedures.
Take on special projects as needed by management.
Resolve any discrepancies through research put forth on the Policy & Procedures of the AR department.
Provide complete and accurate documentation for any Write-Offs proposed by the Medicaid biller.
Point Click Care system experience is ideal but not required.
Strong working experience using Microsoft Excel.
Working knowledge of insurance policies and appeals.
Other duties as assigned.
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Job Description Managed Care / Medicaid Billing Specialist
Facility: Arbors at Fairlawn
We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront. At the end of each day, knowing that you’ve made a meaningful impact in the lives of our residents will be your greatest reward.
Why Choose Arbors?
One of Ohio’s Largest Providers
of long-term care skilled nursing and short-term rehabilitation services.
Employee Focus : We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
Employee Recognition : Regular acknowledgement and celebration of individual and team achievements.
Career Development : Opportunities for learning, training, and advancement to help you grow professionally.
Key Benefits Package Options?
Medical Benefits : Affordable medical insurance options through Anthem Blue Cross Blue Shield.
Additional Healthcare Benefits : Dental, vision, and prescription drug insurance options via leading insurance providers.
Flexible Pay Options : Get paid daily, weekly, or bi-weekly through UKG Wallet.
Benefits Concierge : Internal company assistance in understanding and utilizing your benefit options.
Pet Insurance : Three options available
Education Assistance : Tuition reimbursement and student loan repayment options.
Retirement Savings
with 401K.
HSA and FSA options
Unlimited Referral Bonuses .
Start a rewarding and stable career with Arbors today!
Education and Licensure:
3 years of Billing experience in a Long-Term Care/Skilled Nursing Facility setting.
High School Diploma or equivalent.
3-5 years in accounts receivable in a healthcare environment; preferred
Skills and Abilities:
Knowledge with Managed Care, Medicare, Medicaid, and Coinsurance and follow-up.
Proficient in relevant computer software, Point Click Care, Excel.
Prepare, bill, and follow up on Managed Care claims ensuring timely and proper reimbursement.
Bill and follow up on secondary claims associated with Manage Care primary billing.
Post all payments for Managed Care timely and properly, moving copay amounts to the proper payer source as needed.
Thorough understanding of Managed Care, Medicare, and Medicaid in SNF setting
Thorough understanding of ADRs (Additional Documentation Request) in both Managed Care and Medicare billing
Maintain up to date knowledge of changes in the healthcare industry that affect SNF billing policies and procedures.
Take on special projects as needed by management.
Resolve any discrepancies through research put forth on the Policy & Procedures of the AR department.
Provide complete and accurate documentation for any Write-Offs proposed by the Medicaid biller.
Point Click Care system experience is ideal but not required.
Strong working experience using Microsoft Excel.
Working knowledge of insurance policies and appeals.
Other duties as assigned.
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