Billing Specialist

Updated on: 12 Feb 2019
Flexible 10 months, 30 hrs/wk
Remote

Our skilled nursing facility has an immediate need for an experienced Billing Specialist who is familiar with insurance companies, Medicare and Medicaid. Most of our patients are elderly, with a select few youths and young adults. We file insurance claims on behalf of our patients and we work with patients and their families on payment plans and other arrangements to ease the financial burden of skilled nursing care. The ideal candidate will be compassionate and naturally helpful, willing to work a problem to its successful conclusion. Previous experience in senior care and skilled nursing facilities will make this transition much easier.

Responsibilities

  • Submit reimbursement requests to Medicare and Medicaid
  • Process insurance claims for private and employer insurance reimbursement
  • Work with patients to develop self-pay arrangements and payment plans
  • Enter charges accurately and expeditiously to ensure proper records handling and fast payment responses
  • Process and follow up on payer denials, consulting with the patient and/or his or her family as needed
  • Post payments in a timely manner
  • Initiate private pay collections after insurance cancellation, denial or other issue
  • Research and resolve client billing problems or issues
  • Assist patients and their families with applying for CareCredit and other financial solutions
  • Document payment records and issues as they occur

Requirements

  • High school diploma/GED required (College degree preferred)
  • Experience with medical billing and coding, preferably in a skilled nursing environment
  • Excellent customer service skills and phone manner
  • Ability to manage stress in a fast-paced environment
  • Strong knowledge of Medicare and Medicaid practices

Desired skills

Excel / Data Entry
Accounting / Bookkeeping

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