Experienced Data Entry Representative – Medicaid Claims Management and Revenue Cycle Operations
At careerzynith, we are dedicated to delivering exceptional healthcare services to our patients and communities. As a leading provider of innovative solutions, we are seeking an experienced Data Entry Representative to join our team in a temporary capacity. This role will play a critical part in our revenue cycle operations, ensuring timely and accurate billing and follow-up of Medicaid claims for Nursing Home and Hospital services.
**Job Summary:**
As a Data Entry Representative, you will be responsible for managing the billing and follow-up of Medicaid claims for Nursing Home and Hospital services. You will work closely with our business office and admissions staff, as well as various governmental regulatory agencies, to ensure successful accounts receivable management. Your attention to detail, organizational skills, and ability to work in a fast-paced environment will be essential in this role.
**Key Responsibilities:**
* Billing of all Medicaid claims via the SSI software, web portal, or paper billing, including editing billing data and reconciling all bills via KNS
* Follow-up on all outstanding claims greater than 30 days, ensuring timely and cost-effective resolution
* Run A/R aging reports after KNS month end to use as an A/R management tool
* Complete A/R spreadsheets and review details with management at scheduled monthly review meetings
* Manage detailed A/R trial balance for Medicaid/Medicaid MMC/MMA payers, ensuring proper timeliness of billing claims, accurate documentation, and compliance with all Medicaid regulatory guidelines
* Follow up and facilitate resolution of all denied claims, identifying and communicating root causes and trends resulting in denials
* Obtain Medical Records from facilities for the purpose of appealing denied claims
* Ensure that most recent NOCA's are updated in the KNS database and maintained for future audits
* Maintain close working relationships with facility counterparts in business office, admissions office, case management office, medical records office, etc. to ensure effective revenue cycle management
* Utilize all departmental system tools, including KNS, Trace, SSI, etc., and identify and communicate any systemic issues that may result in payment delays, underpayments, or lost revenue
* Billing and follow-up for Medicare co-insurance billing to Medicaid and/or Medicaid MMC/MMA payers for SNF and all other lines of business
**Other Duties:**
* Perform other duties as assigned by the Revenue Cycle Manager
* Maintain required licenses, certifications, and mandatory skill updates
* Comply with all policies, local, state, and federal laws and regulations
**Supervisory Responsibility:**
* No direct reports
**Physical Requirements:**
* Must be able to lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds
* Works in an office environment with moderate to loud noise level
* Subject to frequent interruptions
* Work schedule may include working beyond typical schedule, including weekends and holidays
* Hand dexterity required for data entry on keyboard, requiring finger dexterity and eye-hand coordination
**Disclaimer:**
The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time.
**EEOC Statement:**
careerzynith provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**Requirements:**
* High school diploma and two years related experience or a combination of education and training
* Must be knowledgeable with computers, calculators, system applications, spreadsheets, and other related office equipment
* Must have knowledge of computer office/clinical software
* Must be able to read, write, and understand the English language
**Salary Description:**
$17.00-$20.00 per hour
**Why Join careerzynith?**
At careerzynith, we offer a dynamic and supportive work environment that fosters growth and development. As a Data Entry Representative, you will have the opportunity to work with a talented team of professionals who are passionate about delivering exceptional healthcare services. Our company culture values diversity, inclusion, and innovation, and we are committed to providing our employees with the tools and resources they need to succeed.
**What We Offer:**
* Competitive salary and benefits package
* Opportunities for career growth and professional development
* Collaborative and supportive work environment
* Recognition and rewards for outstanding performance
* Comprehensive training and onboarding program
* Access to cutting-edge technology and systems
**How to Apply:**
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!
**Equal Employment Opportunity:**
careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Apply for this job
**Job Summary:**
As a Data Entry Representative, you will be responsible for managing the billing and follow-up of Medicaid claims for Nursing Home and Hospital services. You will work closely with our business office and admissions staff, as well as various governmental regulatory agencies, to ensure successful accounts receivable management. Your attention to detail, organizational skills, and ability to work in a fast-paced environment will be essential in this role.
**Key Responsibilities:**
* Billing of all Medicaid claims via the SSI software, web portal, or paper billing, including editing billing data and reconciling all bills via KNS
* Follow-up on all outstanding claims greater than 30 days, ensuring timely and cost-effective resolution
* Run A/R aging reports after KNS month end to use as an A/R management tool
* Complete A/R spreadsheets and review details with management at scheduled monthly review meetings
* Manage detailed A/R trial balance for Medicaid/Medicaid MMC/MMA payers, ensuring proper timeliness of billing claims, accurate documentation, and compliance with all Medicaid regulatory guidelines
* Follow up and facilitate resolution of all denied claims, identifying and communicating root causes and trends resulting in denials
* Obtain Medical Records from facilities for the purpose of appealing denied claims
* Ensure that most recent NOCA's are updated in the KNS database and maintained for future audits
* Maintain close working relationships with facility counterparts in business office, admissions office, case management office, medical records office, etc. to ensure effective revenue cycle management
* Utilize all departmental system tools, including KNS, Trace, SSI, etc., and identify and communicate any systemic issues that may result in payment delays, underpayments, or lost revenue
* Billing and follow-up for Medicare co-insurance billing to Medicaid and/or Medicaid MMC/MMA payers for SNF and all other lines of business
**Other Duties:**
* Perform other duties as assigned by the Revenue Cycle Manager
* Maintain required licenses, certifications, and mandatory skill updates
* Comply with all policies, local, state, and federal laws and regulations
**Supervisory Responsibility:**
* No direct reports
**Physical Requirements:**
* Must be able to lift and/or move up to 25 pounds and occasionally lift and/or move up to 50 pounds
* Works in an office environment with moderate to loud noise level
* Subject to frequent interruptions
* Work schedule may include working beyond typical schedule, including weekends and holidays
* Hand dexterity required for data entry on keyboard, requiring finger dexterity and eye-hand coordination
**Disclaimer:**
The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time.
**EEOC Statement:**
careerzynith provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
**Requirements:**
* High school diploma and two years related experience or a combination of education and training
* Must be knowledgeable with computers, calculators, system applications, spreadsheets, and other related office equipment
* Must have knowledge of computer office/clinical software
* Must be able to read, write, and understand the English language
**Salary Description:**
$17.00-$20.00 per hour
**Why Join careerzynith?**
At careerzynith, we offer a dynamic and supportive work environment that fosters growth and development. As a Data Entry Representative, you will have the opportunity to work with a talented team of professionals who are passionate about delivering exceptional healthcare services. Our company culture values diversity, inclusion, and innovation, and we are committed to providing our employees with the tools and resources they need to succeed.
**What We Offer:**
* Competitive salary and benefits package
* Opportunities for career growth and professional development
* Collaborative and supportive work environment
* Recognition and rewards for outstanding performance
* Comprehensive training and onboarding program
* Access to cutting-edge technology and systems
**How to Apply:**
If you are a motivated and detail-oriented individual with a passion for healthcare, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information]. We look forward to hearing from you!
**Equal Employment Opportunity:**
careerzynith is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees, and we prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
Apply for this job