Accounts Receivable Billing Specialist

Position Overview:

The primary purpose of the A/R Billing Specialist is to maintain and be responsible for day-to-day billing and accounts receivable functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to the long-term care operation. The incumbent will be responsible for managing all billing, collections, A/R reconciliation, accounting for all receivables monthly. This position is also responsible for direct contact with our residents for all billing inquiries, including collection phone calls.

Essential Functions include, but are not limited to:

• Balance daily census to nurses’ census, post daily cash deposits, audit resident accounts and adjust when necessary.
• Complete initial and re-authorization verifications as needed, including all pertinent documentation necessary for approval.
• Maintain working knowledge of Private Payers, Medicaid, Medicare and Managed Medicaid/Medicare billing, coinsurance billing, appeals, authorizations, etc.
• Responsible for meeting Accounts Receivable aging goals on 60 balances. Be knowledgeable of each account’s status and act on any items that have not been paid.
• Ensure timely follow-up to insurance companies or guarantors on billing submitted, allowing for effective and efficient cash flow of receivables.
• Perform month end closing procedures: post charges/ancillaries, bill Medicare/Medicaid and Managed Care claims, process month-end closing reports and close in 5 business days for Assisted Living and Independent Living, Benderson within 10 business days.
• Deliver excellent customer service, in writing and verbally to residents.
• A high level of accuracy and quality control is required, including error-free resident statements.
• Develops and maintain positive resident and clinical relationships.
• Maintain patient privacy and follow all HIPAA laws and facility policy.

Educational/Professional Qualifications:

• High school diploma or equivalent
• Additional college coursework preferred
• Minimum 2 years’ experience in medical billing required
• Experience in a Continuum of Care Senior Community preferred (Includes Independent living, Assisted living and Skilled Nursing Care).

Knowledge, Skills and Abilities Required

• Ability to effectively communicate and be a team player with other departments in the facilities, ie: Social Services, Admissions, Marketing, MDS Coordinator and Administrator.
• Knowledge of billing Medicare, HMO, Medicaid and private payer sources for skilled nursing level of care.
• Detail-oriented with an organized mindset.
• Ability to manage and train accounting staff for backup.
• Familiarity with accounting-based software programs. Previous experience with Point Click Care desired.
• Must possess advanced computer skills including working proficiency in Microsoft Office Suite, especially Word, Excel, and Outlook.  Ability to create and edit Excel spreadsheets.
• Accounting and cost reimbursement experience preferred.

Please be advised that all opportunities to work at Aviva require a Level 2 background screening. For more information about the requirements and process, please visit https://info.flclearinghouse.com/ for more information.

Salary : $60,000 - $70,000