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Job Description

MEDICARE SPECIALIST
Date: 11/09/2009
Location: Oak Lawn, IL
Facility:CHRIST MEDICAL CENTER
MEDICARE SPECIALIST - 26931 		Apply Now
Good communication and organization skills.

Working knowledge of PC.

Good knowledge of automated billing systems.

Orientation to detail and accuracy.
3-5 years of billing/collection experience in a health care setting. Hospital experience preferred.

High school diploma or equivalent

Medical terminology preferred.

Working knowledge of automated accounts receivable system.
N/A

Job Description:

Under the direction of the Billing Supervisor, the Medicare Specialist is responsible for the expeditious and accurate processing of Medicare claims to the fiscal intermediary, Administar. The Medicare Specialist is required to identify and correct billing errors/rejections in the Medical Center s patient accounting system, electronic billing system and Medicare compliance applications, (Nebo and 3M Grouper +). It is the responsibility of the Medicare Specialist to operate in accordance with federal and state regulations as mandated by CMS (HCFA) and HIPAA in regards to medical necessity, Medicare Secondary Payor and all other Medicare compliance issues. The Medicare Specialist is responsible for the complete and timely follow-up of Medicare receivables by initiating contact with the responsible parties in order to secure payment.
Accountabilities:
1. Review of daily Medicare admissions
2. Electronic/Hard Copy billing
3. 3M+ OCE Rejections
4. Medicare receivables follow-up
5. Processing of Medicare Payment Vouchers
6. Other duties as assigned
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