Healthcare Billing Specialist

SUMMARY

Provide analysis and collection of Senior Living and Health Care (SLHC) facilities Accounts Receivable. Completion of facility monthly billing and month end reporting for corporate office.  Assist with training of facility staff on duties essential for monthly billing and reporting.  Monitor onsite activities and reporting for accuracy.

ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES      

• Analyze monthly A/R for assigned SLHC facilities
• Assist with staff training on duties essential for accurate billing and other reporting
•  Monthly billing of Private Pay, Medicare, Medicaid and Managed Care for SNF and ALF facilities
• Provide customer service for staff, residents and responsible parties
• Monitor census input and follow up on missing census information including prior authorizations and third-party eligibility
• Work with other departments to ensure accurate and timely billing, resolve issues, and reduce outstanding A/R over 90 days
• Responsible for collection of all A/R for designated payers and adherence to company collection policies and procedures
• Data entry of monthly charges and cash receipts in EHR system
• Perform month end close and provide facility accountant with required month end reports and journal entries
• Support other billing offices as needed

QUALIFICATIONS, EDUCATION & EXPERIENCE

• 2+ years Skilled Nursing billing and collections, including Medicare, Medicaid and Insurance billing.
• Technology proficient, including Excel, Word, billing software, and clearinghouse portals
• Must be capable of maintaining regular attendance
• Must be capable of performing the essential job functions, with or without reasonable accommodations
• Must be able to deal tactfully with C-level executives, personnel, residents, family members, visitors, government agencies/personnel, and the general public.
• Must be able to speak, write and understand English in a manner that is sufficient for effective communication with stakeholders, including supervisors, employees, residents, and families.
• Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future

PLATINUM SERVICE®

Platinum Service^® is characterized by a high level of responsiveness delivered in a flawless, timely and caring way. Employees commit to providing courteous, responsive, and quality service to our residents by following the principles of our Platinum Service® program.

CONCLUSION

All employees are expected to follow all policies and procedures. These policies and procedures can be found in the employee handbook, department policy and procedure manuals and with your supervisor. This job description is intended to convey information essential to understanding the scope of the position and it is not intended to be an exhaustive list of skills, efforts, duties, responsibilities or working conditions associated with the position. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities at any time.

ACKNOWLEDGEMENT

I understand this job description and its' requirements, and that I am expected to complete all duties as assigned. I understand the job functions may be altered from time to time. I have noted below any accommodations that are required to enable me to perform these duties. I have also noted below any job responsibilities or functions which I am unable to perform, with or without accommodation.

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