Job Type: Full Time
Posted 7 minutes ago
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Description
Overview:
Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity
Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA)
Make Lives Better Including Your Own.
If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness.
Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Additional benefits offered include, but are not limited to:
Tuition Reimbursement
Pet Insurance
Adoption Reimbursement Benefits
Variety of Associate Discounts
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.
Please note, Brookdale is committed to complying with all applicable laws and regulations regarding mandatory COVID-19 vaccination.
To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
Responsibilities:
Responsible for verifying skilled nursing patient set up in PointClickCare (PCC), billing, and follow-up of skilled nursing Medicare, Managed Care, Medicaid, and coinsurance claims through clearing house, online portals, and via phone. Also provides related customer service for communities and/or patients.
Perform quality assurance checks of patient information in PCC.
Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals. Billing SNF Private Pay statements thorough Waystar.
Create and bill carve out and high cost drug claims.
Performa revenue input, claim creation, billing, and follow-up of immunization charges to Medicare and Manage Care.
Maintain familiarity with current and past contracts with Managed Care companies.
Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director.
Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise.
Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed.
Process write off and refunds via Service Now and PCC.
Perform month end closing of divested communities in PCC.
Track all claims for monthly billing deadlines.
Provides support for other team members as needed.
This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.
Qualifications:
Education and Experience
High school diploma or general education degree (GED) and minimum of one to three years related experience. Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years. Associate’s or Bachelor’s Degree preferred.
Prior experience billing Medicare and insurance claims is required. Must have proficiency in Microsoft office including Excel and Word. Prior experience with PCC and Waystar, and experience in SNF billing is preferred.
Certifications, Licenses, and Other Special Requirements
None
Management/Decision Making
Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor.
Knowledge and Skills
Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Full understanding of billing-related computer systems. Knowledge of insurance payers. Proficiency in computers to include Microsoft Word and Excel. Ability to organize daily activities within the office to promote timely and efficient transmission of information. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail. Ensures adherence to HIPAA and all laws pertaining to confidentiality.
Physical Demands and Working Conditions
Standing
Walking
Sitting
Use hands and fingers to handle or feel
Reach with hands and arms
Talk or hear
Ability to lift: Up to 10 pounds
Vision
Requires interaction with co-workers, residents or vendors
Brookdale is an equal opportunity employer and a drug-free workplace.
Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity
Early Access to Paycheck with Earned Wage Access is available for Hourly Associates (outside of CA)
Make Lives Better Including Your Own.
If you want to work in an environment where you can become your best possible self, join us! You’ll earn more than a paycheck; you can find opportunities to grow your career through professional development, as well as ongoing programs catered to your overall health and wellness.
Full suite of health insurance, life insurance and retirement plans are available and vary by employment status. Additional benefits offered include, but are not limited to:
Tuition Reimbursement
Pet Insurance
Adoption Reimbursement Benefits
Variety of Associate Discounts
Veterans, transitioning active duty military personnel, and military spouses are encouraged to apply.
Please note, Brookdale is committed to complying with all applicable laws and regulations regarding mandatory COVID-19 vaccination.
To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.
Responsibilities:
Responsible for verifying skilled nursing patient set up in PointClickCare (PCC), billing, and follow-up of skilled nursing Medicare, Managed Care, Medicaid, and coinsurance claims through clearing house, online portals, and via phone. Also provides related customer service for communities and/or patients.
Perform quality assurance checks of patient information in PCC.
Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals. Billing SNF Private Pay statements thorough Waystar.
Create and bill carve out and high cost drug claims.
Performa revenue input, claim creation, billing, and follow-up of immunization charges to Medicare and Manage Care.
Maintain familiarity with current and past contracts with Managed Care companies.
Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director.
Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise.
Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed.
Process write off and refunds via Service Now and PCC.
Perform month end closing of divested communities in PCC.
Track all claims for monthly billing deadlines.
Provides support for other team members as needed.
This job description represents an overview of the responsibilities for the above referenced position. It is not intended to represent a comprehensive list of responsibilities. An associate should perform all duties as assigned by his/her supervisor.
Qualifications:
Education and Experience
High school diploma or general education degree (GED) and minimum of one to three years related experience. Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years. Associate’s or Bachelor’s Degree preferred.
Prior experience billing Medicare and insurance claims is required. Must have proficiency in Microsoft office including Excel and Word. Prior experience with PCC and Waystar, and experience in SNF billing is preferred.
Certifications, Licenses, and Other Special Requirements
None
Management/Decision Making
Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor.
Knowledge and Skills
Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Full understanding of billing-related computer systems. Knowledge of insurance payers. Proficiency in computers to include Microsoft Word and Excel. Ability to organize daily activities within the office to promote timely and efficient transmission of information. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail. Ensures adherence to HIPAA and all laws pertaining to confidentiality.
Physical Demands and Working Conditions
Standing
Walking
Sitting
Use hands and fingers to handle or feel
Reach with hands and arms
Talk or hear
Ability to lift: Up to 10 pounds
Vision
Requires interaction with co-workers, residents or vendors
Brookdale is an equal opportunity employer and a drug-free workplace.
