Medicare Consultant/Biller

Besler Consulting, a leading healthcare finance and operations consulting firm based in Princeton, NJ is seeking a dynamic and detailed oriented healthcare Senior Consultant to complement its Revenue Cycle team.

 

Our successful candidate must have a proven track record in abilities to perform the following job tasks/duties:

 

· Review and utilize information supplied by assigned properties to accurately and timely perform Part A and/or Part B Medicare billing and adjustments in accordane with Medicare regulations to include PPS and Part B line item/HCPCS services through FISS/DDE.

·  Audit and follow up on un-paid Medicare balances, using the electronic inquiry system to resolve problems in claim processing

·  Provide support to assigned properties as needed by answering general Medicare information and PPS questions.

·  Prepare and post adjustments as related to the billing and payment of Medicare claims

·  Address and resolve Return to Provider claims and collect information to identify root causes of denials

·  Ensure the Medicare Claim Denial Notification forms are completed on all denied claims and distributed according to departmental policy

·  Monitor and record the status of the ADR as outlined in the departmental policy.

 

The ideal individual should have 7 to 10 years experience with billing and collections as well as revenue cycle consulting in the healthcare/hospital industry. A proven background in the healthcare/hospital industry and consulting services is preferred with a strong concentration in hospital revenue cycles. Along with a demonstrated ability to proactively bill and collect funds in a hospital/healthcare setting.

 

The qualified candidate must possess excellent organizational and analytical skills along with exceptional oral/written communication skills. Must have the ability to travel as required. A Bachelors degree in finance, accounting or business administration is required; An MBA is a plus along with previous experience in hospital/healthcare and ambulatory revenue cycle. Should also possess a CHFP (Certified Healthcare Financial Professional and /or CMPE (Certified Medical Practice Executive) certification.





Interested parties should submit a resume, with salary requirements by email employment@beslerconsulting.com or visit us at www.beslerconsulting.com