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A/R Specialist - Insurance

Expired Job

Touchstone Communities San Antonio , TX 78245

Posted 4 months ago

PositionA/R Specialist - Insurance LocationSan Antonio, TX- Corporate About the Community Description

When you join Touchstone Communities, you join a group that believes glorifying God and in honoring Him through our thoughts and actions in caring for seniors every day. We work together to make a real difference in the lives of residents, their families, and The Touchstone family of Team Members. If you share our purpose and vision, we would like to meet you.

Accounts Receivable Specialist Insurance Verification/Authorization Emphasis

Position Summary:

Collect and correct primary and/or secondary payer information on departmental cycle for multiple locations. Manage billing software accuracy of information through communications with diverse group of Business Office Managers. Complete re-verification on skilled Residents throughout the month. Communicate directly with Responsible Parties via mailings to confirm available benefits. Position reports directly to department supervisor.

Essential Functions:

  • Understand hierarchy of payers, payer authorizations and limits to coverage in order to ensure proper distribution of A/R funds between payers and resident balances.

  • Consistently follow processes and multi-task in a high volume, quick paced environment.

  • Monitor census from various sources on a daily and monthly basis in order to complete accurate and timely billing.

  • Submit claims/invoices in accordance with departmental deadlines.

  • Track and submit all unbilled claims by reviewing remittance advices, EOBs .

  • Follow HIPAA guidelines in handling patient information while providing support to department supervisor by engaging in multiple projects and assignments simultaneously.

  • Support families and communities with accurate account balances by maintaining necessary documentation such as statements, collection letters and other relevant records.

  • Participate in the preparation and completion of monthly A/R close functions in adherence with company timelines.

  • Review and recommend account updates and adjustments of balances to A/R manager to properly manage accounts.

  • Aggressively pursue collections of accounts with third party payers on claim issues in order to resolve A/R balances.

  • Follow company escalation process when obtaining additional information needed for billing/collections.

  • Other duties as assigned.

We offer outstanding benefits!

Competitive compensation ~ Bonus Plan ~ Paid Vacation ~ Tuition Reimbursement ~ Matching 401(K) ~ Health & Dental Available ~ Life & Supplemental Insurances ~ Team Member Chaplain Services

Position Requirements

Qualifications:

  • Two years of experience with primary and/or secondary insurance billing required. LTC preferred. Hospital billing a plus.

  • Must have Skilled Nursing, Long Term Care, or Hospital Billing / Insurance experience!

  • Billing deadlines, AR Billing Cycles, HIGH VOLUME and fast pace environment experience ( High Volume = Billing and collections for up to 22 separate communities )

  • Experience in Commercial Billing; Primary & Secondary Insurance and Medicare Replacement Plans

  • Position requires education level of High School Diploma or GED. A Bachelors a plus !

  • Proficiency in using computer, 10-key and common office equipment required.

  • Experience successfully contributing in a team environment, understanding of HIPAA requirements, and exceptional personal and phone communication skills will be appreciated.

  • Polished and professional in appearance ( Working within a Corporate Office Environment )

CategoryCorporate Full-Time/Part-TimeFull-Time Exempt/Non-ExemptNon-Exempt ShiftFirst About the Organization Keywords EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. Hiring Manager(s)


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A/R Specialist - Insurance

Expired Job

Touchstone Communities