<p>Medicaid Specialist/Biller</p> <p>The Lutheran Care Center at Poughkeepsie is seeking a Full Time Medicaid Specialist/Biller to join our team!</p> <p>Responsibilities: Compile, process, and maintain accounts receivable and billing records as outlined below:</p> <p>Accounts Receivable</p> <ul> <li>Review files for insurance information. </li><li>Consolidated, private, NAMI, Long Term Care, Hospice billing and follow up </li><li>Prepare billing of primary and secondary claims for Medicaid. </li><li>Complete Medicaid applications and re-certifications. </li><li>Investigate Medicaid billing rejections and rebills. </li><li>Medicaid HMO billing and acquiring authorizations, with follow-up. </li><li>Input pharmacy, lab and x-ray charges </li><li>Attend weekly Rehab rounds and other meetings as needed </li><li>Contact family members for payment schedules. </li><li>Phone calls to get payments mailed or direct deposit from a credit card payment </li><li>Set up direct deposits for payments with bank </li><li>Enter, scan, and file all cash receipts </li><li>Post Foster Family cash receipts </li><li>Handle the bank deposit for LCC </li><li>Upload copies of all daily deposits onto the designated MS Teams channel </li><li>New admission letters </li><li>Sort mail </li><li>Other duties as required </li></ul> <p>Resident Trust</p> <ul> <li>Take funds in for opening RTF accounts for all new residents, set up work orders for phone and TV. </li><li>Return funds to families who have been discharged or send funds to the county if they are Medicaid. </li><li>Contact the county if a bill is outstanding with LCC to have funds transferred to the bill. </li><li>Manage ancillary resident charges. </li><li>Call families when funds are low in the RTF. </li><li>Post deposits. </li><li>Send out quarterly statements for all accounts as per Medicaid regulations. </li><li>Reconcile and replenish the petty cash box monthly. </li></ul> <p>Education, Training, Experience:</p> <ul> <li>Some college preferred; high school diploma is required. </li><li>A minimum of 1-year formal training in the medical billing field is required. </li><li>1-3 years of directly related experience. </li><li>Knowledge of HMO, third party, and Medicare/Medicaid billing. </li></ul> <p>Required Skills/Abilities:</p> <ul> <li>Excellent verbal, written, interpersonal, and customer service communication skills. </li><li>Must be service-oriented, patient, tactful, cheerful, and enthusiastic. </li><li>Must possess the ability to make independent decisions when necessary. </li><li>Proficient in computer software programs; general knowledge of office equipment. </li></ul> <p>Physical Requirements: Sedentary work. Must be able to sit for long periods and lift approximately 10 pounds.</p> <p>Lutheran Care Center is a 160-bed nonprofit nursing and rehabilitation facility located in the heart of the Hudson Valley, and the care of our residents always comes first. Lutheran Care Center is a subsidiary of The Lutheran Care Network.</p> <p>Join our team and make a difference in the lives of others!</p> <p>EOE</p>