Come see why Wesley Enhanced Living is Ranked #5 in the Nation as a Best Workplace in our industry!
Hiring Immediately!
Pay rate is up to $27/hr!
The Accounts Receivable Billing Specialist is responsible for timely and efficient billing and collection of account receivables for a group of skilled nursing facility and a central billing environment, within the parameters established by company policies and state imposed billing requirements, and as necessary to achieve reasonable collection goals.
Essential Responsibilities:
Daily Deposits
- Responsible for the daily entry of deposits of all cash receipts of the facility.
- Completes reconciliation of posted cash between billing software and the bank at least twice per month (before mid-month billing and at the end of the month, at minimum).
- Handle questions from WEL Billing and Finance departments concerning cash receipts.
- Daily deposits and cash posting must be completed by noon daily.
- Verifies resident insurance coverage by using insurance portals.
- Enters new residents and/or ensure payer set-up is accurate for IL/AL and SNF.
- Verify demographic changes to resident information into the billing system.
- Ensure benevolent care credits, rate incentives and move-in incentives are posted.
- Manage the processing of claims for primary and secondary payer to ensure accuracy and timely collection of balance on accounts.
- Responsible for the verification of appropriate charges and the data entry of ancillary charges into the billing system (x-ray, lab, pharmacy, therapy).
- Ensure payer set-up is accurate and revenue books are accurate.
- Maintains files for supporting documentation including all charge sheets for the ancillary charges.
Private Pay Monthly Billing and Collection
- Ensure ancillaries are posted and coordinate bill run with the Facility Business Office Staff for IL/AL and SNF private billing.
- Ensure rent roll is reconciled with the Facility Business Office Staff and Census is reconciled with Admissions Staff.
Medicare & HMO Billing and Collection
- Ensure payer set-up in billing software is accurate.
- Submit claims and ensure timely collection of primary, secondary and private co-pays.
- Coinsurance billing for Medicare A & B
- Private collections
Medicaid Billing and Collection
- Upon notification of MA application, contact POA/Guardian to review Medicaid requirements for resident income payments.
- Ensure payer set-up in billing software is accurate.
- Submit Medicaid claims and ensure timely collection of Medicaid Accounts Receivable through monthly electronic submission of claims, 180 paper claims and mid-month billing of new approvals.
Resident Trust Funds
- Responsible for the timely and accurate data entry of resident fund activity.
- Reconcile resident trust fund accounts with Finance Staff.
Monthly Financial Close
- Ensure all charges, cash and adjustments are posted
- Reconcile facility census to billing software and ensure room rates are recorded accurately.
- Reconcile cash to the bank deposit report.
- Reconcile exchange accounts so that they are balanced.
- Reconcile bad debt write-offs
- Review revenue reconciliation prior to close to ensure that the rates are correct
- Close period upon Finance Department approval.
- Coordinate the financial function of closing each month for each nursing home facility in the Accounts Receivable financial software.
- Provide support to Facility Business Office staff for account review and account set-up and system functioning
- Attend monthly collections meeting
- Maintain resident financial files
- Performs tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances.
- Three plus years’ experience in Long Term Care (LTC) billing with knowledge of Point Click Care, medicare, medicaid, and third party billing for skilled nursing homes.
- Long Term Care (LTC) billing experience preferred.
- Preferred experience with insurance portals, NaviNet, Pear, Ability, Inovalon, UPMC, PA Health and Wellness, and Keystone First.
Education or Degree Requirements:
- High School Diploma
Licenses, Certifications, Registrations:
- None
At WEL, you will be paid at a competitive rate and enjoy a generous benefits package!
Some of our benefits include:
- Health Insurance (including prescription and vision)
- Dental Insurance
- 401(k) plans
- Wellness program
- Flexible Spending Accounts
- Tuition Reimbursement
- Life insurance
- Other generous benefits
WEL is ranked #5 in the nation on the 2023 Fortune Best Workplaces in Aging Services list, and has been a Certified Great Place to Work for the past four years in a row. We got here because of our amazingly talented employees and their commitment to our mission of making a compelling difference in the lives of our residents!
For the safety and protection of our residents, employees, and visitors our organization requires that all staff members receive the COVID-19 vaccine.
An Equal Opportunity Employer | A Mandatory COVID-19 and Influenza Vaccine Employer
#WEL123