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Job Information

Consulate Health Care AR Billing and Collections Specialist (Insurance/HMO) in Maitland, Florida

Job ID 91030
Position Location US-FL-Maitland
Facility Name Consulate Health Care - Maitland
Job Category Finance - Billing
Position Location : Street 800 Concourse Parkway South
Position Location : Zip 32751
Position Status FT is 35+ HOURS WK

Job Overview

Location

Partially Remote

Purpose of Your Job Position

As a Consulate Health Care employee, you are entrusted with the responsibility of carrying out your daily tasks and assigned duties while demonstrating Consulate’s Core Values of Compassion, Honesty, Integrity, Respect and Passion. You are expected to provide innovative, responsible results with the creation and implementation of new ideas and concepts that continually improve systems and processes to achieve superior results.

The primary purpose of your job position is to manage the facility accounts receivable system.As AR Billing Specialist, you are Responsible for maintaining low A/R and bad debt for assigned payors. This position focuses on the billing and collections of HMO, Managed Care, and Co-Insurance accounts. This position is a non-supervisory function.

Duties and Responsibilities

  1. Establish and maintain communication with Business Office Managers, Regional Directors of Business Office Services and others responsible for payment of resident care services; Ensure all are kept current regarding account status.

  2. Generate timely billing of claims.

  3. Follow up on outstanding claims in accordance with department guidelines.

  4. Advise of any address/phone # changes to payer plans.

  5. Maintain current and accurate computer data.

  6. Attend meeting and in-service training sessions, as appropriate.

  7. Adheres to facility policies and procedures.

  8. Must be computer literate, excellent working knowledge of all pertinent software.

  9. Prepare and submit reports in regard to insurance billing, as required.

  10. Must stay in compliance with all state, federal, and government agencies.

  11. Embrace Consulate’s five core values of compassion, honesty, integrity, respect, and passion, and incorporate them into one’s daily job function.

  12. Demonstrate respect and compassion in every interaction.

  13. Conduct oneself with the highest degree of honesty and integrity in every interaction.

  14. Demonstrate a passion for caring as evidenced by interaction with co-workers, residents, families, and visitors.

  15. Perform all other duties, as assigned.

Education

  • Must possess, as a minimum, a high diploma or its equivalent, two-year degree preferred

Experience

  • Must possess a minimum of one (1) year of third party billing experience in a healthcare setting, preferably for Skilled Nursing Facility billing criteria.

  • Must have experience with Excel and Microsoft Office programs.

  • Must possess knowledge of and demonstrated skill with the pertinent billing software.

Specific Requirements

  • Must possess the ability to prioritize duties and responsibilities.

  • Must be knowledgeable of computer systems, system applications, and other office equipment.

Working Conditions

  • Works in office areas.

  • Moves intermittently during working hours.

  • Is subject to frequent interruptions.

  • Works beyond normal working hours, weekends and holidays and on other shifts/positions as necessary.

  • Is subject to call back during emergency conditions (e.g., severe weather, evacuation, post-disaster, etc.).

  • Attends and participates in continuing educational programs.

  • Is involved with government agencies and personnel, etc., under all conditions and circumstances.

  • May be subject to the handling of and exposure to hazardous chemicals.

EEO/MFDV

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