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Medicare Bad Debt Analyst Relevant Educational Qualifications Job

2 months ago Other categories Johnstown   82 views
Job Details

Position is approved for immediate work from home status

Responsible for monitoring accounts to ensure that all Medicare and contracted managed Medicare bad debt cost reporting (MBDCR) entries are thoroughly researched, properly identified, and recorded with appropriate procedure codes on a timely basis. All necessary corrections/adjustments are made to ensure that the patient’s account is stated correctly.

Reviews daily cash posting transaction report to identify zero payments, contractual posting errors, denials, retraction and/or underpayments, late charges, amounts deemed not payable by the payor and recoveries on bad debt accounts.

Maintains a working knowledge of Medicare Bad Debt Rules and Regulations along with knowledge of Medicare payment systems (DRG, APC, Fee-for-service)

Applies corrections to patient demographics, charges, adjustments and payments

Reviews accounts based off of a set list of standards to qualify an account to be eligible for the Medicare Bad Debt log verifying all government and third party payers’ regulatory mandated requirements for collection were followed

Appropriately identifies errors on the logs and/or accounts and accurately fixes the error

Evaluates and resolves residual balances (credits/debits) on accounts preparing refunds as identified

Initiate refund to patients, insurance companies, and third parties by following the established refund procedures.

Correspond with insurance companies, patients, third parties, etc. to resolve payment and refund request issues/delays via telephone and written correspondence.

Minimum Education
High school diploma or equivalent Required
Two years of college Preferred
Associate’s degree Preferred

Minimum Required Work Experience

One (1) year healthcare revenue cycle

Required Skills
Basic proficiency in Microsoft Office applications

Requires critical thinking skills, problem solving, decisive judgment, ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

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Company Description
Success within a company doesn’t just happen. It requires committed teams of talented people who understand and embrace an organization’s goals and work together at the highest level to achieve them.
Each day, LifePoint stands strong behind our commitment to make our communities healthier. We have always known that providing high-quality healthcare depends on our ability to find, keep, and empower creative and determined people who care. This has been a major component of our success in the past –and will be so in the future.