STEPHANIE M. MOORE

SNF Billing-Medicare A,B, Manage Care's Hospice, Manage Medicaid, Auto, and Workers Comp claims.

Collections calls to Insurance Companies on denied claims and under paid. Bill coinsurance's and deductibles after primary Insurance pays. Review explanation of benefits and make necessary adjustments as needed according to contracts. Process claims electronically. Reconcile bank on a weekly basis and at month End.

• Medicare A, Medicare B, Outpatient B, Manage Care, Hospice, Private pay and third-party billing.
• Payment Posting to private pay residents, Medicare remits, third party and Manage Care remits.
• Create self-pay statements on 1st business day of every month.
• Review Medicare and Manage Care claims with RNAC on the 5th business day of every month to make sure accuracy of Rugs, ID#'s, DOB, Authorizations, Qualifying hospital stay dates, and ICD10 codes are all correct.
• Bill all insurance claims no later than the 10th business day of each month.
• Follow-up on any claims that's denied by insurance.
• Bill coinsurance on claims that did not crossover after Medicare payment.
• Assign duties to staff members, and assist with Electronic deposits.
• Prepare Excel reports for month end for Director and Business office.
• Conference call once a month for all financials.
• Refunds to insurance co and private pay residents.
• Assist with auditors on requested information.
• Work with Admissions on verification on Insurance Benefits.
• Fax over Statements and Claims to LTC Insurance CO's.
• Bank deposits when needed.
• Review and prepare invoices for payment, US Labs, Mobilex USA, Pharmacy and Esc.
• Solve and bill any problems that come my way.

• Medicare, Medicaid, Manage Care billing, Hospice and third-party billing.
• Payment posting to resident accounts on daily basis.
• Apply insurance payments to accounts as received.
• Create self-pay statements on 15th of every month, and review before mailing.
• Verify resident's benefits on NaviNet.
• Update Demographic information in PointClickcare.
• Follow up on outstanding balances for insurances non- payments and private payments.
• Refund overpayments to insurance companies and to private paying residents.
• Generate private statements on the 15th of every month and mail appropriate residents.
• Generate Coinsurance statements every Friday and mail to residents.
• Make collection phone calls on outstanding balances past due.
• Following up on outstanding private pay balances and collections calls.
• Reconcile bank on a weekly basis and month end.
• Month End reconciliation by 5th business day of every month.
• Audit reviews on a yearly basis.
• Train new hires and assist others with difficult problems.

• Processed all aspects of accounts receivable (billing) for a variety of Insurance companies.
• Post payments daily to resident's accounts in community.
• Responsible for identifying potential problem areas on claims.
• Reviewed and applied payments to resident's accounts daily basis.
• Assisted with problem areas related to monthly invoices.
• Ensured invoice accuracy preparation and submitted to the residents.
• Ensured that all sources, including private insurance are billed monthly.
• Reviewed aged receivables, prepared and submitted recommendations on write-off of bad debts to Supervisor.
• Reviewed and reconcile to general ledger reports for month end closings.
• Answered accounts receivable phone inquiries and follow up.
• Call and/or mail correspondence to customers as necessary to update accounts.
• Assist with related special projects, as required.
• Update spreadsheets for receivables on weekly basis.
• Deposits checks as payments come in from residents.
• Generate resident's statements at month end closing.
• Assisted team members as necessary.

• Prepared billing information for Corporate Finance.
• Ensured all bills were accurate prior to billing insurance companies.
• Directed workflow, supervised and trained staff.
• Billed hard copy secondary claims to insurance companies.
• Reviewed late charge reports and adjusted or billed accordingly.
• Mentored staff within unit.
• Reviewed and processed all correspondence and declines.
• Uploaded all claims to Medicare and Medicaid.
• Kept current with ICD9 coding to ensure accuracy of codes.
• Process Medicare and Medicaid claims.
• Work Medicare, Medicaid and EOB's.
• Electronic Billing.

• Organized Radiology films from emergency room daily for Radiologist.
• Responsible for filing films accordingly.
• Mailed Radiology reports to doctor's offices.