Medicare Bad Debt Specialist

<p style="font-family: Arial;"><span style="font-size: 12pt;"><strong><u><span style="font-size: 10.5pt;">JOB PURPOSE:</span></u></strong></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">Compilation and verification of required third party documentation for all Medicare bad debt claims on an annual cost reporting basis.  Calculation of allowable Medicare bad debt claims based on third party documentation in accordance with Federal regulations.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><strong><u><span style="font-size: 10.5pt;">KEY RESPONSIBILITIES:</span></u></strong></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">1.    Download and review weekly Medicaid remittance advices from the State Medicaid web portal for each facility.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">2.    Validate and document each paid, adjusted, and/or denied Medicare Part A coinsurance crossover claim on each remittance advice.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">3.    Adjust and/or correct Medicare Part A coinsurance crossover claims in the Medicaid web portal as needed.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">4.    Verify and document the Medicaid eligibility for each resident’s dates of service for each Medicare Part A coinsurance crossover claim.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">5.    Complete the Bad Debt Listing per documentation for each Medicare Part A coinsurance crossover claim.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">6.    Ensure the allowable bad debt amount for each Medicare Part A coinsurance crossover claim is written off correctly in MatrixCare.</span></span></p> <p style="font-family: Arial;"><span style="font-size: 12pt;"><span style="font-size: 10.5pt;">7.    Review each facility’s Bad Debt Listing for possible updates and/or changes needed prior to filing the annual Medicare Part A cost report. </span></span></p><br><p style="font-family:Arial;"><span style="font-size:10.5pt;"><strong><u>Licensure/Certification/Education Requirements:</u></strong></span></p><p style="font-family:Arial;"><span style="font-size:10.5pt;">High School Diploma</span></p><p style="font-family:Arial;"><span style="font-size:10.5pt;"><strong><u>Other Training, Skills, and Experience Requirements:</u></strong></span></p><p style="font-family:Arial;"><span style="font-size:10.5pt;">Microsoft Office, Computer Literate, Detail Oriented, Good problem-solving skills, Good people skills.</span></p><p style="font-family:Arial;"> </p><p style="font-family:Arial;"><span style="color:#004d43;font-size:10.5pt;"><strong>Family Makes Us Stronger.</strong></span><span style="font-size:10.5pt;"> Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.</span></p><p style="font-family:Arial;"><span style="font-size:10.5pt;">We are eager to connect with you! </span><span style="color:#004d43;font-size:10.5pt;"><i><strong>Apply Now</strong></i></span><span style="font-size:10.5pt;"> to get started at PruittHealth!</span></p><p style="font-family:Arial;"><span style="font-size:10.5pt;"><i>As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.</i></span></p><p class="MsoNormal"><strong><u>For Florida Job Postings Only:</u></strong><o:p></o:p></p><p class="MsoNormal"><o:p></o:p></p><p class="MsoNormal">For more information regarding Florida’s Care Provider Background Screening Clearinghouse Education and Awareness, please visit <a href="https://info.flclearinghouse.com">https://info.flclearinghouse.com</a></p>