About the Role
The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances.
Responsibilities
- Perform face-sheet and census entry for accurate billing.
- Verify primary and secondary insurance coverage for residents.
- Provide customer service and problem resolution to facilities and residents.
- Manage account reconciliation and refund requests.
- Handle complex account reconciliation.
- Process account adjustments and bad debt.
- Perform third-party, Medicare, Managed Care, and private billing, including claim corrections and follow-up.
- Track and re-bill pending Medicaid accounts.
- Re-bill claims as needed.
- Identify pattern problems and initiate corrective action plans.
- Maintain accurate records of all work performed on an account.
- Recognize and rectify any errors made within an account.
- Set up Lawson accounts for facility and private pay.
- Participate in the month-end closing process.
- Re-bill claims to improve reimbursement from NETRX reporting.
- Assist in special projects as required.
- Work with minimal supervision.
- Assist in orienting and training new employees.
- Complete all mandatory and regulatory training programs.
- Perform other duties as assigned.
Requirements
- Must be available and on-time for scheduled work shifts.
- High School Diploma or GED required.
- Registered with the State of Vermont as a Pharmacy Technician (Vermont Employees only).
- Must work harmoniously and effectively with fellow employees, supervisors, and others.
- Must work within supervision guidelines and assume additional responsibilities.
- Must be willing to work variable work schedules, assist others as requested and available, and perform all assigned work.
- Must respond to new situations positively, accept change, support new ideas, master new routines, grasp explanations, and apply current knowledge in new environments and experiences.
- Must enjoy the demands of the job and work with interest and enthusiasm.
- Must provide appropriate customer service, listen attentively to needs, and respond appropriately.
- Must take care of equipment and employ good safety habits.
- Must gain acceptance of ideas and accomplish goals through subordinates, peers, and teams.
Skills
- Assertive interpersonal communication skills
- Strong understanding of computer technology
Experience Level
- Experience in Accounts Receivable Department or Collections preferred, but not required
Education Level
- High School Diploma or GED
- Associates Degree or Higher in Accounting or related field (Preferred)
Salary/Compensations
- $18.00-22.00 an hour
About the Company
- KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.
