740 Administrator jobs in Lexington,KY

Accounts Receivable Clerk
Prepare and submit timely and accurate claims for Medicare Part A, Medicaid, managed care organizations, hospice, private pay, and other third-party payers.
Monitor resident accounts to ensure timely payment and appropriate reimbursement.
Post payments, contractual adjustments, denials, refunds, and account corrections accurately.
Review accounts receivable aging reports and aggressively follow up on outstanding balances.
Research and resolve billing discrepancies, claim rejections, payment delays, and denials.
Work with insurance companies, Medicaid agencies, managed care organizations, and responsible parties to resolve payment issues.
Maintain complete documentation supporting all billing and collection activities.
Coordinate with Admissions to ensure payer sources, authorizations, and resident demographic information are accurate.
Assist residents and family members with billing questions, account balances, payment options, and financial responsibilities.
Support Medicaid application and pending processes by coordinating with residents, families, and eligibility workers.
Verify insurance coverage, benefits, authorizations, and eligibility as required.
Prepare monthly accounts receivable reports and assist with month-end close activities.
Maintain compliance with CMS regulations, HIPAA, Medicare and Medicaid billing guidelines, and facility policies.
Participate in audits by providing requested documentation and resolving audit findings.
Communicate effectively with interdisciplinary team members to resolve reimbursement issues.