Medical Billing Specialist

The Mary T Family of Companies is seeking a full-time Billing Specialist to join our Accounting and Finance team.

The Billing Specialist is responsible for full-cycle billing, including processing claims, payments, and other related paperwork to various payors, and ensures the paperwork is submitted correctly and in a timely manner.

This position is based in Coon Rapids, MN and will offer a hybrid remote work schedule of 3 days in-office and 2 days remote.

Essential Job Duties

• Coordinates billing cycle needs and due dates for billing.

• Collects census information on a periodic basis. Services and Room and Board are on a monthly basis.

• Coordinates client income and spend down, take-backs and Social Security RFI benefit verifications when applicable.

• Conducts client eligibility verifications.

• Reviews Service Contracts for authorization and verifies unit/hour/days rates.

• Prepares and sends private pay statements.

• Completes data entry of billing information and verifies correctness of billing data.

• Uses software to bill respective agencies, government departments, and insurance companies.

• Maintains appropriate records of claims sent.

• Verifies claims sent and income recorded.

• Updates systems with changes in client status, move ins, move outs, service agreement changes, or other contract changes.

• Reports necessary information to the Social Security Administration (SSA), rep-payees, and provides Certificate of Rent Paid (CRP) to renters when applicable.

• Follows up with Mary T, Inc. staff, managers, and directors regarding expiring authorizations.

• Performs duties related to the collection of billed services.

• Receives check receipt data and ensures deposits are made in the system.

• Verifies direct deposit receipts.

• Ensures that incoming funds are coded appropriately (security deposits, refundable deposits, damages recovered, different types of fees charged for rental).

• Ensures that payments are recorded properly (on-account payments, monthly catch-up payments, advance payments from private payors).

• Posts payments and verifies correctness.

• Follows up on missed payments, short payments, and late payments.

• Coordinates list for rebilling and follows up on required documents.

• Responds to denials via appeals and/or informs appropriate supervisor, manager, or director.

• Ensures the collection report is reconciled to bank deposits.

• Reconciles the collection report, billing report, and income report.

• Manages billing data

• Enter information for new clients, services, and locations.

• Creates and/or ensures new general ledger accounts are set for correct data flow.

• Prints and stores various reports for easy accessibility.

• Audits to ensure information is collected and stored in prescribed formats.

• Generates various billing and accounts receivable reports including Billing Report, Deposit/Collection Report, Income Report, Aging Report and other reports as needed by location, by client and by payor.

• Serve as Billing System Administrator

• Act as subject matter expert for billing system.

• Ensure integrity of billing system data

• Identify and resolve software issues with billing system developer.

• Other duties as assigned pertaining to this position

• Provides data for cost reports (Medicare, DDA, and others).

• Assist accounting staff with audit requests.

• Manages clients' accounts where the billing agency (MTAI, MTMD, MTHHH) is the rep-payee.

• Works with Accounts Payable Specialist regarding issues related to clients' needs money from their Social Security payments received as the clients' rep-payee.

• Works with Accountants for general ledger and bank reconciliations.

• Assists in training peers and problem-solving.

• Meets with internal staff (home staff, supervisors, managers, directors, nurses, Accounts Payable, other Accounting staff) and external persons with whom communication is required for this position.

Job Requirements:

EDUCATION:

• High school diploma; some college courses in Accounting preferred

CERTIFICATION/LICENSURE:

• None

EXPERIENCE:

• 1 - 3 years prior experience

KNOWLEDGE, SKILLS, ABILITIES:

• Good communication, writing skills and computer skills
• Organization and time management skills
• Knowledge of Medicare rules and regulations, medical billing, insurance, HIPAA laws, ICD 10, and HCFA codes
• General accounting knowledge
• Understanding of Home Health and/or Hospice billing

What we have to offer you:

• Salary range of $25 - $30 per hour, depending on qualifications and experience
• 3 Weeks of Personal Paid Time Off
• Paid Holiday Time Off
• Insurance benefits including Medical, Dental, Vision, Voluntary Life, HSA and more
• 401(k) with Company Match
• Daily Pay Available: Work today, get paid today
• Professional Development Scholarships and Opportunities
• Referral Bonus Program

About Us: Family owned and founded on a history of care, The Mary T Family of Companies provide a full continuum of health care services from disability services, senior housing, assisted living, therapy, home health, and hospice care. Our mission is to provide quality, personalized services to creatively meet the unique and evolving needs of people. We invest our resources to best serve our customers, community, and the people of Mary T. Let our family become your family!

Learn more about our Company here!

The Mary T Family of Companies are Equal Employment Opportunity / Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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