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POST ACUTE CARE BILLING SPECIALISTPosition Summary: This position is responsible for working Pending Medicaid Applications and redeterminations in order to ensure financial eligibility for dates of service needed to secure a valid Medicaid payer status for all Covenant Facilities. Work closely with outsourced applications and attorney referral when necessary.Responsibilities include:
Management of Medical Assistance application process
Re-determinations processing including processing of all appropriate forms applicable to that State policy in conjunction with the facility Business Office
Meet with residents/responsible party upon admission and at time of payer change to LTC
Monitor daily census for admissions and changes in a residents stay at the facility
Monitor and document the progress of the pending Medicaid cases and re-determinations in the PCC Collection Module
Follow up with LTSS on status of cases
Communicate timely with facility and corporate RCM team with barriers and red flag cases
Report any potential problem cases or non-compliance by resident/responsible party
Participate in monthly AR reviews
Respond to case discontinuation and/or denials by determining the appropriate action required which may include; appeal, reapplication or acceptance
Process referral to outsource applications as needed
Initiate prompt attorney action when necessary; including the need for conservator, and work closely with the attorney’s office
Perform all other duties or projects as assigned by Manager
Covenant Health Mission StatementWe are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.Core ValuesCompassionWe show respect, caring and sensitivity towards all, honoring the dignity of each person, especially the poor, vulnerable and suffering.IntegrityWe promote justice and ethical behavior, and responsibly steward our human, financial and environmental resources.CollaborationWe work in partnership, dialogue and shared purpose to create healthy communities.ExcellenceWe deliver all services with the highest level of quality, while seeking creative innovation.We are an equal opportunity, affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, disability status, gender, sexual orientation, ancestry, protected veteran status, national origin, genetic information or any other legally protected status.
Full-time- ID: #49991067
- State: Massachusetts Tewksbury 01876 Tewksbury USA
- City: Tewksbury
- Salary: USD TBD TBD
- Showed: 2023-05-24
- Deadline: 2023-07-24
- Category: Et cetera