Billing Specialist

GENERAL PURPOSE:

To perform and/or oversee the successful and timely completion of all business, financial, and administrative functions within the parameters established by Southern NP Associates, LLC guidelines, state and federal regulations, and as needed to achieve the goals of the SNP. Promote an environment that provides optimal efficiencies and superior quality of the business office.

QUALIFICATIONS

• Healthcare billing and collection experience preferred.
• Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment.
• Proficient in computer skills for administrative work such as spreadsheets, report writing, letters, and training tools.
• Strong analytical skills; ability to quickly identify problems and find effective solutions.
• Strong written and oral communication skills.
• Ability to work and produce results under pressure.
• Ability to effectively and harmoniously interact with facility, group, and corporate management and other employees at all levels; promotes teamwork and demonstrates strong leadership skills and professionalism.
• Fundamental knowledge of insurance agency reimbursement programs.
• Must be capable of maintaining regular attendance.
• Must be dependable and able to work with minimal supervision.
• Must have knowledge of office machines and equipment.
• Basic computer skills preferred.
• High school diploma or equivalent.
• Must be at least 18 years of age.
• Must be able to speak, read, write, and understand English.
• Must be capable of performing the ESSENTIAL JOB FUNCTIONS and PHYSICAL AND SENSORY REQUIREMENTS FOR ALL JOB FUNCTIONS as outlined below.
  

ESSENTIAL JOB FUNCTIONS

1. ADMINISTRATIVE FUNCTIONS

1. Accepts ownership and accountability for the successful completion of all business office functions and achievement of goals.
2. Reviews, analyzes and interprets financial data to monitor progress toward established goals; identifies deterrents to success and implement improvements as necessary to enhance efficiencies and results; facilitates effective problem resolution and development of business office goals and objectives.
3. Strives for compliance by all business office staff with internal controls and state and federal regulations.
4. Ability to audit resident accounts, assess accuracy and collectability of accounts receivable balances, and initiate appropriate collection actions.
5. Performs and/or oversees the completion of all routine and extraordinary business office related tasks, including but not limited to:

• Accounts Receivable
• Evaluation and data entry of all new residents to our program from outside Skilled Nursing Facilities.
• Third party billing
• Accounts payable
• Maintain and reconcile office petty cash account
• Reception, mail distribution and all other administrative duties
• Duties as outlined in the Billing Specialist Protocol

1. Participates in the development and successful implementation of plan(s) of improvement as indicated, recommended and/or required by Financial Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing obstacles to the Practice Manager and/or Executive Director, verbally and/or in writing or as dictated.
2. Ensure that the office is maintained in a clean and safe manner.
3. Complete, type, proofread, correct, maintain and provide forms, reports, records, statistical data, financial records and reports and correspondence.
4. Establish and maintain adequate filing systems.
5. Assures appropriate maintenance of all business office equipment.
6. Coordinates, facilitates and/or participates in periodic meetings and training workshops as assigned.
7. Keeps abreast of current state, federal and company policies, procedures and regulations.
8. Keeps abreast of changes in billing guidelines for Medicare, Medicaid, HMO’s, PPO’s and reports them to the Practice Manager and/or Executive Director.
9. Provide Nurse Practitioners/Physician Assistants, Office Staff, Provider Assistants, Practice Manager and Executive Director with Simpra rooster with enrollees at the beginning of each month.

1. ACCOUNTING FUNCTIONS

1. Verify accuracy of invoices, remittance advices, checks and journals.
2. Ensure that expenses are distributed to the correct accounts.
3. Assist in the establishment, maintenance and improvement of adequate accounting systems.
4. Ensure correct recording and posting of payments to appropriate journals and accounts.
5. Maintain files of all charge slips, debits, credits, etc for each resident.
6. Oversight of billing company for collections, accounts receivable, including collection letters and statements.
7. Assist in balancing accounts, verifying computer printouts, and reconciling.

STAFF TRAINING & DEVELOPMENT FUNCTIONS

Maintain professional competence and keep abreast of changes in administrative procedures through attendance and participation in continuing education programs, workshops, and seminars.

We provide an excellent benefits package for all full time employees and their family memebers including:

• Health insurance (low cost and low deductibles)
• Dental insurance
• Long/short term disability
• Matched 401k
• PTO
• Vision insurance

We are an equal opportunity employer that values diversity in the workplace.