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THE LUTHERAN HOME ASSOCIATION Billing Eligibility Specialist in WATERTOWN, Wisconsin

JOB REQUIREMENTS: Location The Lutheran Home: Belle Plaine Address 611 W Main St. Belle Plaine, MN 56011 Description What makes our care community different? People like you. Join our care team as a Billing & Eligibility Specialist and don\'t just start a job. Start a career. One that is meaningful and that gives you the opportunity to learn and grow. This is a full-time, Monday-Friday position. [Responsibilities] Daily audit of admission, discharge and other source documentation to ensure revenue is recognized appropriately and all conditions of payment are met. Verify patient eligibility and payor coverage guidelines to ensure that all necessary information is secured for timely, accurate revenue recognition Assists patients in understanding financial obligations; collects co-payments, self-pay deposits, and patient balances to reduce Accounts Receivable. Weekly communication with site leadership detailing outstanding documentation or other issues resulting in a potential loss of revenue. Prepares invoices for reimbursement and performs follow up to ensure accurate, timely payments are made to our facility partners Prepare, submit and follow up on authorization and re-authorization requests according to applicable state and commercial payor guidelines. Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure accurate and timely billing Ensure all payer requirements are met accordingly, including pre-cert requirements, notification requirements, and level of care change required documents. Alerts appropriate team members at the Site regarding late or missing documents required for billing. Assure for compliance with local, state and federal laws, Medicare regulations, and established company policies and procedures Meets with new admissions and/or responsible parties to establish relationships, gather financial information and obtain signatures on appropriate forms. Responsible for billing, insurance reimbursements and collections to ensure payment on all accounts Attends care conferences deemed necessary for payment/billing/collections Participates in discharge planning as it relates to billing/collections [Minimum Required Qualifications] High School Diploma or GED Minimum of one year of related experience Ability to communicate verbally and in writing effectively Ability to follow all safety rules, regulations, policies and procedures of the facility including but not limited to: Vulnerable Adult and Abuse Policy, HIPAA, Resident\'s Bill of Rights. [ PreferredQualifications] Associates Degree or higher Healthcare financial experience (preferred) Senior Care Experience Understanding of Medicare PDPM (preferred) [Benefits] Take paid time off. Whether you work full-time or part-time Get paid more when you work weekends, evenings or overnights. We offer a \$1/hour... For full info follow application link. EOE/AA/Min/F/Vet/Disability ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/731556C30B8142C5

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