Skip navigation
Unable to save this job. Please try again later.

{msg}

Email this Job to Yourself or a Friend

To begin the application process, please enter your email address.

Company Contact Info

  • Kankakee, IL

Already have an account?

Sign in to apply with your saved resumes.

New to CareerBuilder?

Don't have an account? Continue as a guest!

Sorry, we cannot save or unsave this job right now.

Report this Job

Trust and Site Security Team.

Don't miss out on new jobs!

Get the latest AR SPECIALIST - MEDICARE I jobs in Kankakee, IL delivered directly to your inbox. You can unsubscribe at any time.

Saving Your Job Alert

Job Alert Saved!

Could not save Job Alert!

You have too many Job Alerts!

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

Sign Up

or   Sign In Here
Password Must Contain
• 
8 to 15 characters
• 
1 uppercase letter
• 
1 number or symbol
• 
1 lowercase letter
Cancel
Create an Account with CareerBuilder to save jobs & unlock these great features
See similar job titles and skills to help you make your next move
Upload a resume and become visible to Hiring Managers and Employers
Compare Salary Information to see where you stand amongst your peers
Easily Quick Apply to jobs with just one click!

Email Send Failed!

AR SPECIALIST - MEDICARE I

Riverside Medical Center • Kankakee, IL

Posted 1 month ago

Job Snapshot

Full-Time
Degree - High School
Other Great Industries
Health Care

Job Description

Summary:

The Accounts Receivable Specialist Medicare I coordinates all billing and collection activitiy as related to the Medicare accounts receivable. Assists in the daily maintenance of Medicare billing guidelines and compliance. Performs other patient account duties as assigned.

Experience/Education Requirements:

  • High school graduate or equivalent
  • Prior Medicare billing experience preferred
  • Excellent guest relation skills, including verbal and written
  • PC and keyboarding skills @ 30 WPM
  • Ability to work independently
  • Two years hospital patient accounting experience (preferred)
  • ICD10/CPT Medical Terminology Preferred
  • Previous collections or insurance experience

License or Certification Requirements:

  • HFMA Credentialed Revenue Cycle Representative, preferred
  • Complete 10 hours of Medicare University between July 1 and May 31 each year. Submit report from Medicare University in Halogen and copy to Manager/Director for proof of completion.

 Work Schedule: Days

FTE: 1.000000

Location: Hoover

 

Responsibilities:

  • Ability to accurately review and bill all secondary and tertiary insurances to correct charges, bill forms and supporting documentation (EOBs).
  • Appropriately identify denied claims, work to ensure that trends are identified and resolved quickly.
  • Maintain daily billing queues by working claim edits or following up on claim issues.
  • Maintain patient demographic information.
  • Maintain the assigned Medicare, Medicare Part C, and Medicare Part B Only financial class receivables >120 days at 5% or less.
  • Maintaining A/R by the use of Telephone, Internet, Worklists, Queues, ATBs and appropriate letters.
  • File and re-file claims to insurance companies.
  • Other duties as assigned.
  • Provides accurate and timely billing of all electronic and paper claims, including but not limited to: download, edit and transmit claims.
  • Responsible for timely and accurate review of the rejected claims to ensure that all claims were accepted by the payer.
  • Also has the knowledge to correct any rejections to ensure claims are rebilled timely.
  • Understands and applies Medicare LCD and NCD requirements-reviewing those cases that fail medical necessity and performing proper follow-up to ensure compliance with the regulations.
  • Understands billing requirements for Medicare and Medicare Part C or MMAI plans billing as defined by contract, state or federal law.

 #CB

Riverside Healthcare is revolutionizing care using leading-edge technology to diagnose and treat patients. We are ranked top in the nation for performance in neurosurgery, orthopedics, and heart surgery and have also been named one of the nation's 100 Top Hospitals® by Truven Health Analytics seven times. Riverside is nationally recognized for our specialty programs in obstetrics, trauma, oncology, rehabilitation, geriatrics, occupational health, psychiatric services, and treatment of alcohol and chemical dependency, as well as patient safety. We combine innovation and convenience at state-of-the-art facilities located in communities throughout the greater Kankakee area.

Riverside Medical Center proves that truly progressive medicine is being delivered in Chicago’s southwest suburbs and East Central Illinois. Join a team that is not only concerned with providing the best care possible but also with offering a work environment of advancement and growth. Riverside is a place that embraces a culture where opinions count and dedication is respected, where superior performance is rewarded with competitive salaries and excellent benefits.

Job ID: 898
Help us improve CareerBuilder by providing feedback about this job: Report this Job.
CAREERBUILDER TIP
For your privacy and protection, when applying to a job online, never give your social security number to a prospective employer, provide credit card or bank account information, or perform any sort of monetary transaction. Learn more.
By applying to a job using CareerBuilder you are agreeing to comply with and be subject to the CareerBuilder Terms and Conditions for use of our website. To use our website, you must agree with the Terms and Conditions and both meet and comply with their provisions.
Don't miss out on new jobs like this
Get the latest jobs delivered to your inbox. Unsubscribe at any time.

Saving Your Job Alert

Job Alert Created

Well, this is embarrassing. We are having trouble saving your search. You can try again or come back at a later time.

Maximum Email Alerts

This email address has reached the maximum of 5 email alerts. To create a new alert, you will need to log into your email and unsubscribe from at least one.

More Jobs at Riverside Medical Center

View All Similar Jobs View All Similar Jobs