Health Care Billing Specialist

The Goodman Group is seeking a BILLING SPECIALIST to join their collaborative & service-based team! The Goodman Group is a privately held company located in Chaska, MN, which manages senior living and Health Care communities, residential communities, and commercial properties located throughout the United States, which provide homes and services for more than 10,000 residents and employment for over 4,000 individuals.

The Goodman Group has been consistently voted the Top Work Places every year since 2018, along with receiving the Customer & Employee Approved award from NRC Health, which recognizes senior-care organizations across the country for creating an outstanding care experience for their residents & for engaging & inspiring their employees.

The Goodman Group offers a competitive salary, generous PTO, 401K with employer match, full health benefits, long- & short-term disability, life insurance, pet insurance, employee recognition & engagement programs, along with so much more!

The Billing Specialist will 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. Monitoring on-sight activities and reporting for accuracy.

Why Work for Us: (Features & Benefits)

• Comprehensive Health Plan Options
• Medical and Prescription Coverage
• Dental and Vision Coverage
• $10k Life Insurance Coverage*
• Supplemental Insurance Options
• Pet Insurance
• 401(k) Retirement Savings Plan with Generous Company Matching Benefits
• Employee Support Program (ESP)
• Tuition Discounts with Rasmussen College
• Educational Support
• Team Member Referral Bonus
• Shift Differentials
• LifeMart Employee Discounts
• OnShift Engage Bonus and Incentives
• Generous Paid Time Off

• Benefits available to eligible employees with enrollment in a medical insurance plan. Eligibility may vary by position, average hours worked, length of service, and/or location.

Essential Job Functions Duties and Responsibilities

• Analyze monthly A/R for assigned SLHC facilities
• Monthly billing of Private Pay, Medicare, Medicaid and Managed Care for SNF and ALF facilities
• Backup other billing offices in the event of turnover
• Responsible for collection of all A/R and adherence to company collection policies and procedures
• Handle all census input and follow up on missing census information including prior authorization and Medicare/Medicaid eligibility
• Enter monthly charges, cash receipts in Point Click Care EHR system
• Perform month end close and provide facility accountant with required month end reports and journal entries
• Assist with facility staff training on duties essential for accurate billing and other reporting
• Assist facility staff with questions
• Provide customer service for residents and/or responsible parties
• Pre-Audit work for facility internal audits including, review of all business office functions including payroll, billing practices, accounts payable procedures, and collections
• Test and evaluate facilities practices to ensure compliance with HIPAA, Code of Conduct, Wage and hour and CMS regulations
• Audit for legal and company policy compliance
• Review facilities admission packets to ensure all required documents are included
• Instruct Admissions Coordinators on proper completion and timeliness of documents
• Other duties as assigned

Language Skill:

Ability to read and interpret documents such as Medicare and Medicaid billing guidelines, policy and procedure manuals, and software training documentation. Ability to write routine reports and collection correspondence. Ability to speak effectively in small groups of employees of the organization, with resident’s family members and facility personnel. Ability to communicate in written or spoken form to various payer office personnel.

Mathematical Skill

Ability to calculate figures and amounts such as discounts, interest, proportions, percentages.

Reasoning Ability

Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit and talk or hear. The employee frequently is required to walk; use hands to finger, handle, or feel; and reach with hands and arms. The employee is occasionally required to stand. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.

Education and Experience

• 2+ year of Skilled Nursing billing and collections, including Medicare, Medicaid and Insurance billing
• Technology proficient including Excel, Word and Skilled Nursing billing software, including UB04s and clearing house portals
• Must be capable of maintaining regular attendance
• Must be capable of performing the essential functions of the job, with or without reasonable accommodations