Medicare Billing Specialist

As a Medicare Billing Specialist at FellowshipLIFE, Inc., your main responsibilities will include managing accounts receivable for designated facilities, accurately monitoring Medicare Part A and B claims, and ensuring timely filing of billing information. You'll also follow up on unpaid or rejected claims, maintain accuracy in medical coding, and collaborate with nursing home staff to keep accounts receivable processes smooth. Your expertise will be crucial in maintaining the financial health of our senior living communities.

To qualify for the Medicare Billing Specialist role at FellowshipLIFE, Inc., candidates should have knowledge of Medicare reimbursement systems, long-term care billing experience, and at least two years of Accounts Receivable experience. Proficiency in Microsoft Office, primarily Excel, is essential, and familiarity with accounting software such as PointClickCare, Inovalon, and MatrixCare is advantageous. Understanding of medical terminology, infusion CPT, HCPCS, and ICD-10 codes is crucial for success in this role.

Applicants for the Medicare Billing Specialist position at FellowshipLIFE, Inc. are expected to possess at least two years of Accounts Receivable experience, ideally within the healthcare billing sector. Prior knowledge and familiarity with Skilled Nursing Facility (SNF) billing processes are strongly preferred, alongside a solid understanding of billing forms and requirements. This experience will enable you to effectively manage the intricate billing processes needed for our senior living communities.

A Medicare Billing Specialist at FellowshipLIFE, Inc. should ideally be proficient in Microsoft Office, particularly Excel, for data analysis and reporting. Familiarity with accounting software such as PointClickCare, Inovalon, and MatrixCare is highly beneficial. A solid understanding of the Fiscal Intermediary Standard System (FISS) is also important for managing claims and checking claim status. This software expertise will support your success in this vital role in our finance team.

At FellowshipLIFE, Inc., a Medicare Billing Specialist can look forward to a comprehensive benefits package including a 401(k) with matching, health and dental insurance, life insurance, and paid time off. We also offer tuition reimbursement and an employee assistance program to support your personal and professional growth. With a starting salary of $62,000, we strive to provide a fulfilling and enriching work environment.

Absolutely! The Medicare billing process for Skilled Nursing Facilities involves understanding the specific requirements for billing Medicare Part A and B. It's crucial to gather accurate patient information, determine the appropriate billing codes, and submit claims accurately on time. You should also be prepared to monitor claim statuses and follow up on any rejected claims, ensuring resolutions are in place as quickly as possible.

To ensure timely billing and collections, I prioritize maintaining organized and detailed records of all accounts receivable. I believe in closely monitoring aged accounts and proactively following up on any discrepancies or unpaid invoices. Additionally, collaborating with other departments ensures that any issues are addressed swiftly, allowing for smoother workflows and improved collection rates.

When dealing with rejected or unpaid claims, I begin by investigating the cause of the rejection and ensuring that all necessary information is correct. I follow up with the payer to gather additional details or clarification, re-submit the claim if needed, and ensure that any communication is documented. Keeping track of these follow-ups is essential for timely resolutions, and I communicate with relevant departments as necessary.

I have extensive experience with medical coding, particularly with ICD-10 and CPT codes. To ensure accuracy, I routinely review the documentation for completeness and correctness prior to submitting claims. Additionally, I stay current with coding guidelines and updates by engaging in ongoing education and training sessions. Regular audits of my work also help maintain high accuracy levels.

I am quite experienced with various accounting software, including PointClickCare and MatrixCare. In my previous roles, I utilized these systems to streamline billing processes, maintain accurate records, and generate reports for analysis. Being tech-savvy has significantly improved my workflow efficiency and allowed me to spot discrepancies quickly to prevent errors.

One of the most challenging aspects of being a Medicare Billing Specialist is navigating the complexities of Medicare regulations and keeping up with frequent changes. It's vital to remain informed about these changes, as they can directly impact billing processes and compliance. However, I take these challenges as opportunities for growth and learning, and I make it a point to stay connected with industry news.

When managing billing for multiple facilities, I prioritize tasks based on deadlines and the complexity of each account. Utilizing a task management system helps me stay organized, and I make it a point to set aside time each day to review important deadlines, follow up on older A/R items, and assess ongoing billing tasks to ensure nothing falls through the cracks.

The Fiscal Intermediary Standard System (FISS) plays a critical role in the Medicare billing process as it is the platform used for managing claims. It allows billing specialists like myself to check the status of claims, ensure eligibility, and correct any necessary information before claim submission. Understanding FISS is vital for streamlining the billing cycle and minimizing claim denials.

To stay updated with Medicare and billing regulations, I regularly attend workshops and webinars, read industry publications, and collaborate with colleagues for knowledge sharing. Additionally, I've found that participating in professional networks and forums helps me stay aware of best practices and any changes that may impact our billing processes.

In a fast-paced billing environment, I believe that effective communication and cooperation are key. I foster positive relationships with team members, encouraging open dialogue about challenges and successes. By sharing insights and aligning our approaches, we can increase our efficiency and ensure that the billing process is smooth and effective for all facilities involved.