The Centralized Billing Office (CBO) Biller is responsible for data entry of accounts receivable, bank deposits, reconciliation of cash and census, coinsurance claim billing and follow up.
ESSENTIAL POSITION FUNCTIONS
• Reconciles census and cash entries for accuracy.
• Posts third-party payments on accounts.
• Performs data entry for ancillary and therapy, other charges as needed.
• Submits co-insurance claims to insurance companies, both electronically and/or hard copy.
• Reviews insurance aging and follows up on outstanding co-insurance claims.
• Validates Medicare claims are set to pay.
• Validates payer name override is present for payers that need one.
• Completes month-end processing and billing.
• Completes special projects as assigned.
• Saves files to the Shared Drive as needed.
• Complies with the company’s privacy practices and procedures related to resident and employee records and all state and federal privacy practices and procedures related to resident and employee records and all state and federal privacy laws including HIPAA.
• Complies with and adheres to the appropriate use of Personal Protective Equipment (PPE) required by the Bloodborne Pathogens Standards. Protective Personal Equipment (PPE), including personal protective equipment for eyes, face, extremities, protective clothing, and protective shield and barriers, will be provided, used, and maintained.
• Demonstrates teamwork and prompt and regular attendance at work to ensure that quality care and services are provided to the patients we serve.
• Demonstrates C.A.R.E. values to our residents, family members, customers, and staff.
QUALIFICATIONS
• Associate’s degree or equivalent from two-year college or technical school or one or more years related experience and / or training, OR equivalent combination of education and experience.
• Must have knowledge of Medicare and Medicaid regulations including billing guidelines.
• Must have knowledge of Veterans and insurance billing guidelines.
• Must be familiar with UB04.
• Ability to read, analyze, and interpret technical procedures. Ability to write business correspondence. Ability
to effectively present information and respond to questions from the field, peers, and leaders.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and
percentages. Ability to apply concepts of basic algebra.
• Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an
extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and
concrete variables
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