Overview
Scope of Responsibilities: The Administration Billing Associate is responsible for identifying, researching, rectifying, and maintaining accurate balances
Job Summary: The following are the duties performed by employees in this classification.
Responsibilities
Job Duties:
- Face-sheet and census entry to ensure accurate billing.
- Verifying primary and secondary insurance coverage on residents.
- Provide customer service and problem resolution to facilities and residents.
- Account reconciliation and account refund requests
- Complex account reconciliation
- Account adjustments, bad debt processing
- Third party, Medicare, Managed Care, and private billing, claim corrections and follow-up
- Track and re-bill pending Medicaid accounts
- Re-bill claims as needed
- Identify pattern problems (improper patient demographic data entered, Insurance information not entered, etc). Initiate corrective action plan and notify management.
- Maintain accurate records of all work performed on an account to include letters, telephone conversations, charges payments, etc.
- Recognize and rectify any errors made within an account
- Set up Lawson accounts for facility and private pay
- Month-end closing process
- Re-bill claims to improve reimbursement from NETRX reporting
- Assist in special projects as required
- Works with minimal supervision
- May assist in orienting and training new employees
- Responsible for completing all mandatory and regulatory training programs
- Perform other duties as assigned
Qualifications
Attendance Requirements:
- Must be available, and on-time for scheduled work shifts
Educational Requirements:
- Required: High School Diploma or GED
- Preferred: Associates Degree or Higher in Accounting or related field
Experience:
- Preferred: Experience in Accounts Receivable Department or Collections preferred, but not required
Required (Vermont Employees):
- Registered with the State of Vermont as a Pharmacy Technician
Special Conditions of Employment:
- Drug test
- Initial and continuous exclusion and sanction/disciplinary monitoring
- Any and all additional eligibility requirements based on the specific position
Job Skill Requirements:
- Assertive interpersonal communication skills
- Strong understanding of computer technology
Behavioral Traits Required:
- Cooperation: Must work harmoniously and effectively with fellow employees, supervisors and others you are in contact with
- Initiative: Must work within supervision guidelines and assume additional responsibilities
- Flexibility: Must be willing to work variable work schedules, assist others as requested and available, and be willing to perform all assigned work
- Adaptability: Must respond to new situations in a positive way, accept change, support new ideas, master new routines and grasp explanations, apply current knowledge in new environments and experiences
- Involvement: Must enjoy the demands of the job and work with interest and enthusiasm
- Customer Service: Must provide appropriate customer service (for Kinney customers, fellow employees and business partners), listen attentively to their needs and respond appropriately
- Safety: Must take care of equipment and employ good safety habits
- Leadership: Must gain acceptance of ideas and accomplish goals through subordinates, peers and teams
Compensation:
$18.00-22.00 an hour
The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience and education.
KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state and federal regulations as it pertains to minimum wage requirements.