Top Managed Care Executive jobs in Arkansas

Responsibilities include but are not limited to:

• Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.
• Monitor verifications and authorizations obtained and ensure complete service spans are covered.
• Answer business office manager and/or responsible party inquiries on account status and charges.
• Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.
• Timely submission of SNF claims to various insurance companies
• Prepares and generates clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.
• Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.
• Monthly billing for all Commercial and Managed Care plans
• Oversee authorization process to ensure accuracy
• Create deposits weekly
• Post cash to resident ledgers weekly
• Follow up on all outstanding A/R

Qualifications:

• High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.
• Experience in area of billing, denials review, and accounts receivable processes required.
• Medicaid Medicare and Managed Care Billing Experience