Medicare Billing Specialist For Skilled Nursing Company

Overview

We are looking for an A/R Billing Specialist to join our team! This position will be responsible for billing and collections functions for multiple SNF’s in Texas.

Responsibilities:

• Maintain current knowledge of industry compliance including new regulations, conditions / requirement of participation, and third-party insurance billing requirements.

• Perform all aspects of billing for all payers including but not limited to electronic billing and claims follow up/resolution.

• Validate and check all monthly census activity, and work with BOM to update Payer Trees as required in accordance with member coverage and billing standards.

• Assist with month end close procedures including by not limited to cash reconciliation, ancillary uploads, bill payer setup screens for claim coding (prior to claim submissions monthly), coordinate with external vendors for billing data, and assist with reporting as requested.

• Posting of Cash Receipts on a daily basis to maintain current up to date AR balances, and process necessary adjustments concurrent with Cash posting and Zero balance or Zero paid remittances.

• Monthly review of Accounts Receivable Aging reports and follow up on past due balances through to completion and appropriate payment processing.

• Maintain customer confidentiality in accordance with all HIPPA regulations.

• Maintain daily documentation in PCC Collections on payer and period balances and other relevant account information. Note all adjustments, account updates, and pertinent contact to support accurate and up to date account notes.

• Other duties as assigned.

Skills required:

• 3-5 years SNF/LTC billing experience Required; Knowledge of Texas Medicaid billing forms and requirements preferred

• Strong Communication skills (verbal and written) to communicate with coworkers and outside vendors in remote locations to obtain needed information and provide support to effectively prepare accounts for the billing process and resolve billing issues.

• Above average understanding of full billing process from point of care to payment collection.

• Strong critical thinking / decision-making skills to make informed decisions on how to proceed with billing concerns and issues.

• Ability to communicate positively, effectively, and appropriately with BOMs, leadership, clinical staff, and other partners.

• Ability to understand and explain complex Accounts Receivable and Revenue Cycle questions.

• Ability to manage multiple priorities to meet the needs of our patients and achieve department timelines and goals.

• Ability to work independently without supervision.

• Detail oriented especially to identify and resolve billing discrepancies and/or questions.

Job Type: Full-time

Pay: $25.00 - $27.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Work setting:

• Nursing home
• Rehabilitation center
• Remote

Education:

• High school or equivalent (Preferred)

Experience:

• SNF Managed Care Billing & Collections: 3 years (Required)
• SNF Medicare Billing & Collections: 3 years (Required)

Work Location: Remote