Medical Billing Specialist

Spring Lake Village

Pay Range: $28.44 - $33.72

Summary:
Under the supervision of the Nursing Home Administrator the Medical Billing Specialist prepares all Skilled Nursing facility private pay, insurance, secondary insurance, Medicare and Medi-Cal billing and completes related accounting functions. Serves as the community information systems liaison with the Home Office Accounting Department.

Essential Functions:

• Provides quality Customer Service efficiently to residents, families, co-workers and vendors in a manner to ensure satisfaction.
• Prepares all Skilled Nursing Facility private pay, insurance, secondary insurance and Medicare, Medi-Cal and HMO billing and completes related accounting functions.
• Responsible for all accounting related to documenting, preparing, and distributing Care Center resident statements. May also be responsible for and/or assist with Residential receivables/billing.
• Responsible for aging/past-due account collections and analysis as outlined in Best Business Practices manual with input/assistance from Business Services Director. Makes recommendations to Executive Director regarding charge-offs.
• Responsible for timely follow up on Medicare, Medi-Cal, HMO and secondary insurance claims.
• Participates in Triple-Check meetings, in coordination with nursing and therapy teams.
• Verifies insurance for Care Center admissions.
• Provides reports to Home Office accounting and Executive Director. Works with the Home Office accounting department to reconcile problem accounts.
• Participates in internal and external financial audits.
• May be responsible for preparation and input of daily cash/checks deposits.
• May be responsible for community petty cash including reconciliation and distribution of funds to staff and residents.
• Maintains residential financial/face sheets/insurance information in accordance with Best Business Practices policy manual.
• Answer resident or family inquires on monthly charges and statements.

Competencies and skills:
Essential:
* Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages

Education with Equivalent Qualifications:
Essential:
* High School Diploma / GED

Experience with Equivalent Qualifications:

Essential:
* 3 Years experience with Medicare and Medi-Cal billing and general knowledge of Medicare and Medi-Cal laws and regulations.

Compensation Disclaimer: The actual compensation offered will depend on a wide range of factors including, but not limited to, the selected candidate's knowledge, skills, experience, training, education, and licensure/certifications (as applicable).

Front Porch is an Equal Opportunity Employer. We support all aspects of diversity and provide equal employment opportunity to all employees and applicants without regard to race, color, religion, sex, marital status, national origin, age, sexual orientation, disability or status as a veteran in accordance with the applicable nondiscrimination laws. Final candidates must successfully complete a pre-employment physical, physical abilities test, drug screen and Department of Justice Criminal background clearance.

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