Medicaid Billing

Job Purpose:

 

Collects Medicaid & Private Insurance reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; preparing reports.



Duties:


* Ensures payments by verifying accuracy of medicaid coding.



* Bills medicaid carrier by inputting billing information to database; initiating electronic transmissions and process paper claims. Processing additional claims for Medwaiver, HMO's and private insurances with some  invoicing. 


* Resolves disputed claims by gathering, verifying, and providing additional information; following-up on claims. Pull remittance vouchers, complete accounts receivables.



* Resolves discrepancies by examining and evaluating data; selecting corrective steps.



* Adjusts patient bills by reviewing remittance advice; consulting with medicaid office.


* Updates job knowledge by participating in educational opportunities; reading professional publications; keeping current on medicaid billing and reimbursement procedures..



* Serves and protects the clientele by adhering to professional standards, company policies and procedures, federal, state, and local requirements.


Skills/Qualifications:

Data Entry Skills, Analyzing Information, Quality Focus, Productivity, Time Management, Organization, Professionalism, Attention to Detail, Financial Skills, Documentation Skills, Reporting Skills. Knowledge of Access, Excel, WINASAP Billing Program & Medisoft would be beneficial.