Billing and Collections Specialist

Job Description
Sunnyside Manor, located in Wall NJ, is the area’s premier senior living community. It features three distinctive neighborhoods: Independence ‘Plus’ Assisted Living, Recollections Memory Care, and Skilled Nursing and Rehabilitation. We recently earned top ratings by U.S. News & World Report and were recognized as one of the “best in the nation” for their Skilled Nursing and Assisted Living neighborhoods.
As the Billing and Collections Specialist, you will play a pivotal role in overseeing the Billing and Collections functions. Your expertise will be instrumental in ensuring the accuracy of third-party and resident billing, adhering to billing requirements for Medicare, Medicaid, commercial and private payors, and driving the collections process for past due accounts.
Required Skills

• Proficiency in healthcare billing software and electronic medical record (EMR) systems.
• Experience with PointClickCare a plus.
• Strong organizational skills and attention to detail.
• Exceptional communication skills and the ability to collaborate with cross-functional teams.
• 3-5 years of hands-on Billing and Collections experience, demonstrating a strong understanding of industry nuances.

Sunnyside Manor, located in a state-of-the-art facility, offers an attractive benefits package that includes a competitive starting wage, health insurance, paid vacation, company-provided meals, a 401K plan and tuition reimbursement.
Benefits
Medical insurance, 401K, Parking available, Employee Referral Program
Responsibilities
Key Responsibilities

• Process monthly resident billing, ensuring accuracy and timeliness. Answer billing questions from residents and family members.
• Gather, process, and submit timely resident billing information to our third-party biller for the monthly Medicare and Medicaid billing.
• Work closely with our therapy department and MDS coordinator to ensure the accuracy of resident Medicare information and proper adherence to Medicare guidelines.
• Process and submit co-insurance claims to insurance providers, and follow-up on any unpaid or short-paid reimbursements.
• Process electronic payments and post them into the company’s EMR and accounting software by gathering the required information from third-party portals.
• Process and post payments from residents and insurance companies into the company’s EMR and accounting software.
• Maintain PNA (Personal Needs Allowance) bank accounts.
• Maintain up-to-date knowledge of billing requirements for Medicare, Medicaid, and third-party payors.
• Collaborate with other departments to ensure accurate and timely data entry.
• Review accounts receivable aging and collect past due accounts by the most effective means including telephone calls, email, and mailings.
• Prepare information for Medicare/Medicaid annual cost reports as needed.
• Other responsibilities as deemed necessary.

Requirements
Authorized to work in the US without sponsorship
Able to work at our Wall Township location
Minimum 3 years of hands-on Billing and Collections experience, demonstrating a strong understanding of industry nuances
Experience with Medical Records platform (Point Click Care, Epic, NexGen, etc.)
Confirm your resume will show your experience in hands-on Billing and Collections
Willing to stay up to date with NJ Dept. of Health vaccination requirements
Minimum High School Degree
Knowledge in: Healthcare Billing Software
Knowledge in: Electronic Medical Record (EMR)
Knowledge in: Microsoft Excel
Equal Opportunity Employer
Sunnyside Manor provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Requisition #clp0713ey7pys0pr0ftunla64