We are seeking a detailed and seasoned professional for our Centralized MediCal Biller opportunity. Our ideal candidate will be an integral team player with multi-facility experience in centralized MediCal billing and Managed Medicaid ideally located in Southern California to support our centers throughout the State. This position is approximately 90% remote!
Responsible for ensuring timely and accurate billing and collections of all Medicaid and Managed Medicaid accounts for all of the assigned facilities. Performs monthly review of accounts receivable aging for all resident Medicaid and Managed Medicaid account balances and acts to meet expectations of cash collections and bad debt. Responsible for resolving escalated issues by working with TMHP and the Managed Medicaid providers as necessary to resolve any payment issues. Adjust workload timing and request training to meet business needs of the facilities served. Aggregate any global issues to keep District and Division aware of any issues impacting collections or bad debt.
Where applicable, responsible for Business Office duties including billing and collections.
Manages the billing of claims to ensure timeliness and accuracy of billing for assigned payer(s).
Analyzes claims and determines appropriate adjustments.
Produces and presents progress against performance measures.
Documents and informs management of system issues that delay payments
Adheres to and gives feedback to Management related to billing policies and procedures.
Completes all expectations within specified deadlines.
Accountable for timely collections of outstanding accounts.
Reviews, corrects and resubmits claims for internal system-identified errors
Communicates with facility staff to gather necessary supplemental information
Submit adjusted claims within the specified deadlines
Conducts analysis of all accounts to complete timely adjustments to AR/claims, including write offs and refunds.
Produces and presents progress against performance measures
Participates in monthly account reviews with DDBOS
Ensures accurate and timely status of assigned accounts during monthly AR reviews.
Communicates with supervisor regarding trends and suggested solutions.