Billing Specialist

Bear Mountain Healthcare

Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, Private Billing and Masshealth Application Process.

Duties include:

•Review and bill out HMO/Insurance and Medicaid claims monthly.

•Work with families, attorney’s and Masshealth to get residents approved for Medicaid. 

•Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines.

•Calculate, prepare, and issue bills, invoices, account statements and other financial records according to established procedures.

•Entering census data in Point Click software, such as new patient information, discharge, and any other census information.

•Ensure patient account information is updated in a timely manner, including all patient data and insurance information

•Send out private bills monthly, review, research and respond to all patient inquiries regarding patient accounts.

•Daily deposits and post cash to patient accounts.

•Ensure overpayments/refunds are appropriately processed and applied to patient accounts.

•Post ancillary billing invoices in billing software monthly.

•Experience with (RFMS) Resident Fund Management Services.

•Perform additional duties as assigned.

Requirements Include: 

•3-5 years’ experience in Billing and Collections in Skilled Nursing Facility.

•Experience with Point Click Care Software required.

•Candidates must be detail oriented with excellent computer skills.