Billing AnalystWe have an opportunity for a full-time Billing Analyst to coordinate Medicaid claims submission for the company. This position is based in our Resource Center located in Minnetonka, MN. Primary responsibilities include: financial oversight of Medicaid revenue line, contract negotiation, claims submission, maintaining accurate records, and working collaboratively to ensure timely payment.Responsibilities:Financial oversight of Medicaid revenue lineContract negotiationSubmit Medicaid claims monthlyEnsure billing accuracy for dates and services renderedWork with MCOs/vendors to set up autopay if applicableManage MCO payments and work to get 100% of claims paid through ACH vs checkMaintain service authorization binders and spreadsheets to ensure accurate billing ratesUpdate billing system to reflect any change in daily ratesUpdate billing system to reflect resident days out of the communityCollaborate with community to ensure residents receive timely communication if converting to MedicaidProactively look for new service authorizations prior to expiration to ensure continuous claim submission and paymentWork with case manager to ensure new authorizations are received upon expirationMaintain accurate spreadsheets of Medicaid residents, service authorization information, fees, and dates of billingApply Medicaid payments in billing systemBill residents in billing system for required spend downsContact Medicaid providers to request information, ask questions about payments and service authorizationsReview Medicaid accounts receivable and work to resolve any denied or unpaid claimsVerify and reconcile Medicaid payments receivedWork with clinical team to ensure service authorizations are consistent with care plans and provide discrepancy reporting to clinical and operations teamAssist communities with monitoring and provide reporting on residents migrating from private pay to Medicaid or other government programsQualifications:Bachelor's Degree in related field preferred2+ years of experience in Medicaid billingStrong computer and software skills.
Eldermark and PointClickCare experience a plusFamiliarity with Medicaid billing procedures and regulationsExcellent attention to detail and must maintain accuracyAbility to work independently with minimal supervision and collaboratively as a teamNew Perspective Senior Living is an equal opportunity employer.