CAS Billing Associate

Job Title: Cas Billing Associate

In order to fill our Mission of serving our community by helping each person achieve optimal health and well-being by providing compassionate, exceptional, and affordable healthcare services, all employees of Genesis HealthCare System must be committed to living the Genesis Mission and Genesis values of Compassion, Excellence, Integrity, Team, and Innovation. All employees must regard themselves as an 'owner' of Genesis and keep our patients at the center of everything we do - always.

Position Details:

Work Shift: Varied Shift (United States of America)

Scheduled Weekly Hours: 0

Department: Rev Cycle/Billing

Overview of Position:

CAS Billing Associate is responsible for submitting accurate and timely claim billing and reports based on a health plan, payor, or contract requirement. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary.

Essential Duties:

• Demonstrates complete knowledge, understanding, and compliance with company policies and procedures.
• Demonstrates comprehensive knowledge and understanding of Federal, State, and local laws, rules, regulations, and guidelines regarding reimbursement, collections, and compliance.
• Complete patient demographics verification to include insurance coverage of benefits and proper coordination of benefits.
• Complete health plan billings based on requirements.
• Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds and or credits when applicable.
• Identify covered services based on payor guidelines and federal and state regulations.
• Meet or exceed established standards for productivity and quality.
• Communicate effectively and professionally with external customers.
• Assist with customer service issues, questions, or payments via phone, email, or physical mail.
• Resolve payment issues with carriers (denials, partial payments, etc.).
• Review, modify, and re-bill rejected or denied claims.
• Assist with cash payment posting to provide payor backup as needed for payments received.
• Perform other duties as assigned.
• Always maintain the security and privacy of all company and patient information in accordance with HIPAA and all other local, state, and federal regulations.
• Is responsible for maintaining billing and patient care records in accordance with proper HIPAA and document retention standards.

Qualifications:

• High School Diploma or GED equivalent required.
• Two years of relevant billing experience required. Priority consideration given to those that have specific experience with EMS Billing and/or EMS Dispatch.
• Certified Ambulance Coder (CAC) certification or must obtain within three months of hire.
• Must possess a valid state driver's license and be eligible for driving privileges based on current Genesis P&Ps.
• Excellent communication and interpersonal skills - written, verbal, and presentation.
• Maintains a positive attitude when acting as a change agent.
• Must read, comprehend, and follow written and verbal instructions.
• Must read and understand English.
• Ability to assess situation needs and problem solve.
• Demonstrating knowledge, skills, and ability related to patient care and routine procedures at CAS within one's scope of practice, as demonstrated by completing annual competencies.
• Attends at least six educational programs per year or 24 hours of continuing education per year pertinent to the role.
• Extensive knowledge of the EMS system, including Basic Life Support (BLS) and Advanced Life Support (ALS) medical protocols, departmental operating procedures, and incident command.
• Computer skills for utilizing various software, such as word processing, spreadsheet and database software, internet-based document sharing, and internet-based polling and scheduling applications.

Patient Centered Care & Behavioral Expectations:

Living the Genesis Mission, Vision and Values:

• Performs work in a manner that is quality focused.
• Treats patients, co-workers, visitors, and volunteers with courtesy, compassion, empathy, and respect.
• Results-oriented and focused on the achievement of objectives.
• Acknowledges and responds to the diversity of people and the situation.
• Encourages peers (others) to be owners of change.
• Always makes the effort to anticipate and exceed customer needs and expectations.
• Possesses the ability to engage others with patience and understanding.
• Acts in a manner that creates positive first and lasting impressions.
• Demonstrates the ability to own issues until they are resolved.

Patient-Centered Care (patients/families, physicians, co-workers, and all other internal/external customers):

• Introduces self and roleconnects with everyone.
• Communicates effectively (e.g., advises others of actions, pertinent information, time durations, etc.), and asks for feedback.
• Asks for and anticipates the needs and concerns of others.
• Maintains a positive work environment for staff and a healing environment for patients (i.e. safe, clean, quiet, etc.)
• Maintains the dignity and privacy of each person; manages confidential/sensitive information appropriately.
• Responds to requests in an appropriate and timely manner.
• Exits patient/customer encounters courteously, asking if additional needs can be addressed.

Promotes Patient and Employee Safety:

• Demonstrates safe Patient Handling (i.e. transfers, transport, care administration, nutrition, medication, etc.)
• Demonstrates safe Materials Handling (i.e. appropriate use and disposal of chemicals, infectious wastes, etc.)
• Demonstrates appropriate knowledge of Infectious Disease precautions and use of proper protective equipment
• Demonstrates Slips/Trips and Falls Awareness.
• Actively contributes to maintaining a safe, clean, and quiet environment.

Working Conditions/Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential function of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Works in an office and field setting. May need to travel to other Genesis locations.
• Answers telephone calls, uses personal computer and other business machines extensively, which requires the ability to apply finger dexterity. Individual bends, reaches, pushes, and pulls file drawers to file records and reports.
• Regularly lift or move up to 10 pounds, frequently lift or move up to 25 pounds and occasionally lift or move up to 50 pounds.
• Vision abilities required include up close vision, peripheral vision, depth perception and the ability to adjust focus.
• Ability to sit, stand, push, pull, bend, and walk for extended periods of time.
• May be required to periodically rotate shifts and regular days off. All system employees must be willing to work all shifts, extra hours, holidays, and emergency shifts as required.

This description reflects in general terms the type and level of work performed. It is not intended to be all-inclusive, nor portray the specific duties of any one incumbent.