Job Summary :

As a member of the Finance team, this position is responsible for the timely filing of claims to support skilled nursing and assisted living facilities.

This position is responsible for the accurate submission, tracking, and posting of claims. The individual will work with our EHR to input, monitor and follow up on claim status.

The individual in this role will work directly with multiple locations providing prompt service and timely follow-up. This is a great opportunity for individuals that are organized, process driven, and detail oriented.

Essential Functions and Responsibilities :

• The Billing Specialist is responsible for the full-cycle billing processes
• These duties include, processing monthly skilled nursing facility claims for Medicare, Medicaid, Private payers and third-party insurances, posting insurance payments, working denials, and ensuring current A / R for assigned facilities is accurate
• Maintains or oversees maintenance of accounts receivable systems, resident billing and accounts according to accepted accounting principles, regulations, and company policy / procedures and timelines
• Maintains and oversees the billing and control of Medicaid, Medicare, Medicare Advantage, private insurance and co-insurance for patient claims
• Guarantees that all claims are filed accurately and on a timely basis
• Ensures that the co-insurance is billed to the responsible party or insurance company timely
• Communicates and works cooperatively with fiscal intermediaries, company accounting staff, auditors, state agencies and facility staff
• Complete general bank deposits and posting of electronic payments, making adjustments as needed
• Submit electronic and manual billing claims to carriers' intermediaries, and other payer sources through clearinghouse.

Follow-up on Return to Provider (RTP) claims or rejected claims by the clearinghouse

• Reviews and updates census in EHR as necessary to ensure accurate billing
• Reviews A / R monthly for accuracy
• Maintains professional and technical knowledge by attending educational workshops
• Follows instructions and completes daily assignments as assigned and is proactive to change

Qualifications : Education and Experience

• 1-2 years of experience in medical billing
• Skilled nursing facility billing experience preferred (but not required)
• Strong verbal and written communication skills
• ICD-10 knowledge

LTC Accounting Services offers a competitive benefits package including medical, dental, vision, life insurance, and a 401K retirement plan.

Last updated : 2024-02-23