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We are offering a long-term contract employment opportunity for a bookkeeper in the healthcare industry, based in Richlandtown, Pennsylvania. This role involves a range of duties related to customer application processing, maintaining customer records, and handling customer inquiries, with a particular focus on Medicare claims and billing.
Job Responsibility:
Accumulate and input ancillary charges for residents, such as laboratory and pharmacy expenses
Submit claims via various methods including clearinghouse, direct data entry, and paper
Act as the primary submitter of Medicare claims and a secondary submitter for other claim types
Keep a close eye on claims payment amounts to ensure accuracy
Handle claim rejections at both the clearinghouse and payer level, submitting adjustments as necessary
Draft and send appeals to insurance companies when required
Accept and record cash receipts following the cash posting process
Monitor accounts receivables aging list and follow up with payers in line with the Collections Policy
Refer claims follow up to collection agency where appropriate
Document all claims research and activity in the claims billing software
Verify insurance benefits as they relate to claims processing
Respond promptly to regulatory requests, ensuring compliance with payer timeframes and regulations
Report necessary information to the immediate supervisor as requested or according to a set schedule
Respond to inquiries related to the specific area or requests from residents and staff within given time frames
Complete annual compliance and HIPAA training and exhibit appropriate behavior as set
Requirements:
Possess a thorough understanding of Medicare, including its rules, regulations, and billing procedures
Demonstrable experience in healthcare billing, ideally in an NHS or similar healthcare setting
Proficient in claims processing, with a strong ability to handle and resolve claim discrepancies efficiently
Adept at maintaining accurate financial records and preparing clear and accurate reports for management
Knowledgeable in all aspects of bookkeeping, including accounts payable/receivable and payroll
Strong attention to detail, ensuring the accuracy and integrity of all financial data
Excellent organizational and multitasking skills, capable of managing multiple tasks simultaneously in a fast-paced environment
Exceptional communication skills, both written and verbal, to effectively interact with various healthcare professionals and stakeholders
Proficient in using various accounting software and applications, and adaptability to learn new systems as required
Ability to maintain patient confidentiality, adhering to HIPAA and other relevant healthcare regulations
A minimum of a Bachelor's degree in accounting, finance, or a related field is required
Relevant certification, such as Certified Bookkeeper (CB), would be advantageous
Nice to have:
Relevant certification, such as Certified Bookkeeper (CB), would be advantageous
What we offer:
medical, vision, dental, and life and disability insurance
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