Patient Receivable Rep- Medicare/Medicaid

Stamford Health is a well-established, award winning Healthcare System with multiple locations in CT.

As a new Certified Great Place to Work organization, Stamford Health understands what it takes to attract talent in order to improve our workforce and support our mission, to that end we offer:

• Competitive salary

• Sign on bonuses for designated positions

• Comprehensive, low-cost health insurance plans available day one

• Wellness programs

• Paid Time Off accruals

• Tax deferred annuity and (403b) pension plan

• Tuition reimbursement

• Free on-site parking and train station shuttle

• Childcare partnership with Children's Learning Center

JOB SUMMARY:

Ensure that the hospital is billing appropriately to the government payers as well as resolving and working through accounts appropriately and accurately. Maintain a current level of knowledge with billing rules and regulations to facilitate proper claims processing and ensure that we are in compliance with state and federal regulations. Work to ensure that the billing edits are resolved timely and effectively. Keep apprised of the updates to Medicare and Medicaid billing. Provides expertise to all areas of the department to enhance all receivable activity. Updates receivable system with any new, corrected or pertinent information in relation to resolution of receivable accounts. Stay current with all tasking functions.

JOB RESPONSIBILITIES:

1.Ensure prompt, accurate, and compliant billing and payments for all Medicaid and Medicare patient claims.

2.Resolve failed billing edits, under/over or denied payments by Medicare and Medicaid. Monitor the resolution and involve ancillary departments as needed using the tasking function when applicable.

3.Keep current with the changes to the medicare and medicaid regulations and billing protocols. Have a clear understanding of how these changes will impact the Hospital's departments.

4.Accurate billing and follow-up of patient accounts according to established departmental guidelines based upon regulation requirements.

5.Monitors and reconciles daily reports as well as assigned worklist for appropriate account resolution inclusive to credit, debit and adjustments.

6.Documentation of all action taken on an account.

7.Completes all projects as assigned.

8.Maintains department standards of productivity.

9.Performs other related duties as assigned or requested to maintain a high level of service.

10. Demonstrates professional work behavior by following Service Standards and Success factors.

11. Complies with departmental organizational policies and procedures and adheres to external agency requirements.

12. Providing timely and accurate information regarding patient data/status to other health system departments, physicians, physician office staffs, and other publics while insuring patient confidentiality is not breached.

Required Experience

Two years college, and/or three years prior equivalent experience in a Hospital setting with experience in medicare, medicaid or commercial billing and follow up. Computer literacy in PC environment is required with strong organizational, analytical, interpersonal and communication skills. Meditech experience a plus.