The Role
Reviews and implements payer pricing, fee schedules, claims payment information, and contractual billing requirements across multiple locations. Maintains pricing matrices and payer setups, monitors revenue and accounts receivable reports, identifies payment and billing issues, supports billing offices with training and issue resolution, and ensures contract terms are accurately reflected in billing software.
Summary Generated by Built In
Job Summary & Responsibilities
This employee will review and implement all pricing and claims payment information associated to contractual obligations, payer fee schedule changes, and posted policy updates for multiple locations.
- Ensures revenues are accurately recognized and at full potential
- Works with Managed Care Contract administrators, regional billing offices, and centers to ensure contract terms are input into the billing software and are being followed
- Day to day workings of individual office
- Running A/R Reports, customer lists, and reviewing revenue reports for potential issues
- Works with billing offices on revenue issues and training issues as needed
- Deliver directives from Corporate office as they apply to fee schedule changes and claims payment
- Assist in identifying areas that need to be reworked/addressed
- Create and maintain pricing matrices and payer setups associated as directed
- Working knowledge of Microsoft Office products especially Excel
- Intermediate use of Excel formulas such as V-Lookup preferred
- Typing skills and 10-key required
Education and Experience:
- Associates Degree (AA) or equivalent from two-year college or technical school, or six months to one year related experience and/or training, or equivalent combination of education and experience
Skills Required
- Working knowledge of Microsoft Office products, especially Excel
- Intermediate Excel formula skills, including VLOOKUP
- Typing and 10-key skills
- Associate degree or equivalent from a two-year college or technical school, or six months to one year of related experience and/or training, or an equivalent combination
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The Company
What We Do
Lincare is a leading supplier of respiratory-therapy products and services for patients in the home. You can learn more about our extensive suite of products and services by visiting our website. Everywhere we operate, Lincare is working to be a partner in patient care by providing high-quality services and supplies, promoting patient education, and building strong relationships with patients, physicians, families and caregivers. Services we offer include: Oxygen Therapy Nebulizer Therapy Sleep Therapy Ventilator Therapy Enteral Therapy Pediatric Services Caring Responders Long Term Care Disease Management Programs and More!
