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Patient Account Representative
BrookdalePatient Account Representative responsible for billing and follow-up on Medicare and insurance claims for skilled nursing. Working remotely for employees in Brentwood, TN area only.
About the role
Key responsibilities & impact- Responsible for verifying skilled nursing patient set up in PointClickCare (PCC), billing, and follow-up of skilled nursing Medicare, Managed Care, Medicaid, and coinsurance claims through clearing house, online portals, and via phone.
- Perform quality assurance checks of patient information in PCC.
- Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals. Billing SNF Private Pay statements thorough Waystar.
- Create and bill carve out and high cost drug claims.
- Performa revenue input, claim creation, billing, and follow-up of immunization charges to Medicare and Manage Care.
- Maintain familiarity with current and past contracts with Managed Care companies.
- Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director.
- Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise.
- Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed.
- Process write off and refunds via Service Now and PCC.
- Perform month end closing of divested communities in PCC.
- Track all claims for monthly billing deadlines.
- Provides support for other team members as needed.
Requirements
What you’ll need- High school diploma or general education degree (GED) and minimum of one to three years related experience
- Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years
- Associate’s or Bachelor’s Degree preferred
- Prior experience billing Medicare and insurance claims is required
- Must have proficiency in Microsoft office including Excel and Word
- Prior experience with PCC and Waystar, and experience in SNF billing is preferred.
Benefits
Comp & perks- Medical, Dental, Vision insurance
- 401(k)
- Associate assistance program
- Employee discounts
- Referral program
- Early access to earned wages for hourly associates (outside of CA)
- Optional voluntary benefits including ID theft protection and pet insurance
- Paid Time Off
- Paid holidays
- Company provided life insurance
- Adoption benefit
- Disability (short and long term)
- Flexible Spending Accounts
- Health Savings Account
- Optional life and dependent life insurance
- Optional voluntary benefits including accident, critical illness and hospital indemnity Insurance, and legal plan
- Tuition reimbursement
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Billing Medicare ClaimsBilling Managed Care ClaimsBilling Medicaid ClaimsQuality Assurance ChecksClaim CreationRevenue InputFollow-Up ProcessesMonth End ClosingClaims TrackingWrite Off Processing
Soft Skills
Team SupportCommunication Skills