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Use left and right arrow keys to navigate
Hours Full-time, Part-time
Location kennett square, Pennsylvania

About this job

Full time opening for a Manage Care Collections Specialist in Kennett Square office. Genesis HealthCare is one of the nation's largest skilled nursing care providers with more than 400 skilled nursing centers and assisted living residences in 28 states nationwide. Genesis also supplies rehabilitation therapy to over 1,500 healthcare providers in 46 states. And right now, we have openings near you. POSITION SUMMARY: Ensure claims/bills are produced according to payor and regulatory requirements to assure remittance at first pass; business goals are: * Improve Quality of Bills Produced prior to formal bill submission * Reduce DSO RESPONSIBILITIES/ACCOUNTABILITIES: * Process Primary and Secondary Commercial Insurance claims, e.g. .Long Term Insurance, Motor Vehicle, Workmen's Compensation. * Liaise with Center Staff to ensure verifications, authorizations, and documentation requirements meet payor requirements for claim submission * Prepare final bill for submission, e.g. UB92 and include supporting documentation using prescribed format. * Follow up on any / all unpaid claims. * Maintains records, files and logs of claim status or other billing information as directed. * Interacts with Third Party Payors as required to obtain payment for pending claims. * Prepare adjustments/corrections to Commercial Bills. * Refers problems or rejected claims to Specialist, Claims Resolution. * Assure accuracy of demographic information in the Billing System to ensure accurate billing and prompt payment. SCNG

Qualifications:

SPECIFIC EDUCATIONAL/VOCATIONAL REQUIREMENTS: 1. Associate's Degree or 2 or more years experience in accounting, billing, or collections. 2. Healthcare work experience preferred. 3. Enjoys working in high volume environment. JOB SKILLS: Leadership: Demonstrates responsibility in completing daily, weekly and monthly tasks. Cooperates with team in meeting team deadlines. Fosters positive working relationship with Center Staff to ensure organizational goals are met. Financial Management: Knowledgeable in Private Pay and Commercial Insurance Benefit Plans, benefit coordination, payor requirements on submitting claims, and techniques in how to submit a clean claim to ensure payment at first pass. Understands the unique requirements of different billing systems. Understand factors affecting DSO and Bad Debt e.g. Payor Source Sequencing, Coordination of Benefits, Insurance Requirements, and Private Pay Billing. Business Skills: Demonstrates expert level administrative and organizational skills. Documents in writing all actions relating to a specific case. Assures all records are up-to-date and reflect current activity on a daily basis. EEO/AA, M/F, Vet, Disabled

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Question about working at Genesis? Contact Genesis HealthCare Recruiting at sourcing@genesishcc.com .

About Genesis Genesis offers a variety of services in more than 400 centers across 28 states. In addition to our ShortStay and LongTerm care services, we offer Specialized Alzheimer's care, orthopedic rehabilitation, ventilator care, dialysis care and Assisted Living services in a variety of centers near you!

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101 East State Street,

Kennett Square, PA 19348

1.866.745.Care

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