Descripción del puesto
Responsibilities.
• Overseeing authorization tracking for Managed Care patients in a SNF (Skilled Nursing Facility) setting.
• Ensure all patients' DOS are approved and reconciled. Resolve all authorization issues.
• Oversee communication with Skilled Nursing Facility Accounts Receivable (AR) Department.
• Assist SNFs (Skilled Nursing Facility) to properly navigate and maximize appeal options.
• Track denials and appeal outcomes.
• Audit & maximize reimbursements.
• Implement Company tracking for new Facilities.
• Perform weekly & monthly utilization reviews.
• Conduct monthly reporting & triple checks.
• Analyze Date for new Facilities.
• Handle SNF (Skilled Nursing Facility) AR Collections.
Requisitos
Experience:
• Previous work experience in a Skilled Nursing Facility.
• Knowledge of SNF (Skilled Nursing Facility) Accounts Receivables including Medicare HMO, Medicaid Managed Care, Commercial Plans, Traditional Medicare, & FFS Medicaid.
Beneficios
Paid Health & Life Insurance
Perfect Attendance Bonus (Paid monthly)