Insurance Billing Analyst

At Extendicare Health Services, Inc., a leading national provider of post-acute healthcare, we’re building for the future by embracing dynamic change and challenge.  Come design a new level of success with us.  We have the following position available:

 

POSITION: Insurance Billing Analyst

 

DEPARTMENT: Accounts Receivable



 

REPORTS TO: Insurance Billing Supervisor

 

POSITION SUMMARY: 

 

Responsible for coordinating the billing and collection of Medicare Part A & Part B coinsurance balances to Insurance Carriers for all owned facilities. 

 

PHYSICAL

ACTIVITIES:  Standing, sitting, walking, bending, reaching, lifting.

 

MINIMUM

QUALIFICATIONS:

 

PHYSICAL

REQUIREMENTS: Ability to lift 20 lbs.

 

EDUCATION: High school diploma or equivalent preferred.

 

EXPERIENCE: Minimum of one year spent in a health care setting, preferable in a long-term care environment, processing Medicare or Insurance claims via electronic or manual submission.  Experience with health insurance claims preferred.

 

 

SKILLS, KNOWLEDGE & ABILITIES: 

 

Proficiency with Micosoft Excel and Word.  Ability to effectively communicate with all levels of staff both orally and written.  Ability to read, write and understand simplex and complex sentences.  Ability to take and transfer, and interpret information.  Ability to interact with others to accomplish work.

 

 

DUTIES AND

RESPONSIBILITIES: 

 

ESSENTIAL FUNCTIONS:

 

1.  Review Medicare Payments and identify claims that automatically cross over to the secondary payer.  Prepare and submit claims for the claims that have not crossed over.

2.  Identify and monitor crossover claims in which a “disconnect” exists

3.  Daily follow up on account activity to include account adjustments, payments.

4.  Code payments for data entry and deposit.

5.  Daily follow up with insurance companies to research claims that have not been paid and determine the appropriate action.

6.  Review and process all account adjustments and commercial insurance refunds that have been submitted by the facility.

7.  Respond to facilities and payer’s inquiries regarding claim billing issues.

8.  Report claim status to the appropriate levels of management and track claim payment and billing trends.

9.  Other duties as assigned.



 

For consideration, please apply via our website at www.extendicare.com or fax a cover letter and resume with salary requirements to 414-908-7397.  We are an equal opportunity employer encouraging workforce diversity.