Posting insurance payments, either Private, Medicare, Medicaid, or HMO Commercial payments. Entering patients’ demographics, payer information, daily admissions, and discharges of the assigned skilled nursing facilities. Going through the aging of private account receivables and doing bank reconciliation, resulting in meeting the month-end deadlines and reviews
Did the aging of accounts receivable and timely communication with the skilled nursing facilities' staff regarding collections, payments, and billing concerns of the residents, ensuring timely and accurate responses
Communicating with the skilled nursing facilities staff like admission officers, therapy directors, MDS Coordinators, Social Work Services Staff and Business Operating Managers regarding billing and insurance concerns of SNF residents.
Calling insurance companies for eligibility, coverage, and asking about claim denials
Going through the County Budget Letter and booking NAMI (Net Allowable Monthly Income) that is due to skilled nursing facility and to be billed out to the residents
Tools: Remote Desktop Protocol (RDP), Microsip, David System, MedForce, EMedNY, Availity, Inovalon, Payspan, Zelis, Echo Portal, EMR systems like PointClickCare, Matrixcare and Sigma
