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Accounts Receivable - Medicare Billing Specialist in St. Louis, MO at St. Andrew's Resources For Seniors

Date Posted: 5/11/2018

Job Snapshot

Job Description

Daily Tasks

•        Check AR system for new admits, payer changes, other census changes and verify payer sequencing

•        Enter cash receipts into AR system

•        Make adjustments pertaining to payer changes and surplus (income)

•        Answer all emails from Facility Business Office Managers pertaining to accounts as needed

•        Work on aging report

•        Go into eSolutions network and work on T status and denied / rejected claims - report ADR's as applicable

•        Update Medi system with level of Care changes, Discharges, income changes and bed hold

•        Enter ADR’s into ADR tracking sheet, pull claims and all backup and send to Therapy Company, etc.

Monthly Tasks

•        Upload therapy imports into AR system and verify all payers, units, and Rug levels. Enter all the charges and G-codes into Vision as needed. 1-2 business days to reconcile depending on size of facility

•        Generate Rugs for Medicare A & B and Insurance - compare against Rug billing reports, census reports, triple checks and physician certifications. Troubleshoot as necessary

•        Balance cash receipts to bank statements

•        Generate all room and board for Private, Medicare A & B, Medicaid, Medicaid surplus & pending, Veterans Administration (VA), and Hospice

•        Generate statements for Private pay, Hospice, Medicaid surplus, VA and send to facility (make address corrections as needed on failed claims/statements)

•        Enter Part B conditions codes and diagnosis codes as needed

•        Send claims to Medicare A, Medicare B, Managed Care, Commercial payers & coinsurance (1 day)

•        Follow up on all claims (ongoing after claim submission)

•        Run closing process, reconciliations, census verification reports, revenue transaction reports, etc. Present to Director of AR once balanced

•        Send census to necessary vendors and enter the vendor data into HealthMedX (AR System/EMR)

•        Assist with annual cost report data gathering and preparation

•        Other duties assigned

Job Requirements

•        Must have experience performing all of the job descriptions above 

•        Must have experience with Medicare within the Long Term Care setting, or corporate setting 




Please submit resumes and salary requirements to:

St. Andrews Resources for Seniors

1001 Craig Rd., Suite 200

St. Louis, MO 63146