Jewish Senior Services
  • Finance
  • Fairfield/Bridgeport, CT, USA
  • Hourly
  • Part-Time
  • Days

Summary: Responsible for collecting, posting and managing account payments. Responsible for submitting claims to Medicaid and Applied Income. Following up with insurance companies that may be a Third party billing concern that would impede Medicaid payment.

Reports To: Supervisor, Accounts Receivable

Titles Supervised: None

DUTIES

Essential Responsibilities:

1.Processes payments and prepare daily deposits.

2.All deposits listed on the daily deposit log, total bank deposit listing, and posted in Martix.

3.Reconciles census monthly, and balances to billing journal.

4.Maintains accurate records for audit request and response.

5.Resident files are organized in folders chronologically, with all agreements and financial documents.

6.Prepares reviews and sends patient statements, per the JHE financial calendar.

7.Collection procedures are being followed on all account 30 days and over, 1-3 collection letter, and final letter, in conjunction with follow up documented phone calls.

8.Weekly collection attempts are documented.

9.Identifies and resolves patient billing complaints.

10.Follows and reports status of delinquent accounts as requested monthly.

11.Answers questions from residents and staff as it relates to residents insurance.

12.Process refunds or funds due to residents as credit balances occur. Review and address credit balances monthly.

13.Prepares and submits clean claims to various insurance (Medicaid) companies either electronically or by paper, in accordance with the CT DSS Map deadlines.

14.Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor. Prepares information for the collection agency.

15.Follows and reports status of delinquent accounts as requested monthly.

16.Evaluates patient's financial status and establishes budget payment plans (maintain current AI budgets). Follows and reports status of delinquent accounts.

17.Processes no-pay Medicare claims timely (per admission or level of care change), for Medicaid pay starts.

18.Works closely with the Resident Trust bank to assure accurate monthly payments are received.

19.Works closely with all contractors or State & Federal agencies to assure Medicaid Pending/Medicaid eligible residents are granted.

20.Facilitate all transfers of funds on Medicaid/Pending residents, i.e. rep payees and pension check transfers.

21.Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

22.Other assignments as needed.

QUALIFICATIONS

Minimum Qualifications:

Education:High School Diploma or GED

Experience:2 - 3 years

Licensure: N/A

Jewish Senior Services
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