Long-term Care Billing Specialist

Why Mile Bluff Medical Center?

Mile Bluff Medical Center is a place where people come first. Our team is comprised of caring, patient-centered professionals serving pediatric through geriatric populations in our rural community. Our not-for-profit organization prides itself on providing state-of-the-art healthcare services, a positive work environment, and a team where employees feel valued and supported. Mile Bluff is an independent organization that offers competitive wages, great benefits and the opportunity for growth. Mile Bluff makes decisions for its employees and patients locally without relying on a large health system in another community.

General Information:

Job title: Long-term Care (LTC) Billing Specialist

Schedule: Full-time, 80 hours per pay period; Monday-Friday, 8:00am-4:30pm

**Position is not eligible for remote work. Must report on-site daily.**

Weekend rotation: No Weekends

Holiday rotation: No Holidays

Position Summary:

The LTC Billing Specialist is responsible for accurate billing, ensure accuracy of payments posted to patient accounts, account reconciliation, and follow-up for resident accounts. This role ensures compliance with Medicare, Medicaid, private insurance, and private-pay requirements while maintaining professional communication with residents and their families regarding account balances due and billing inquiries.

Position Responsibilities:

• Monitor and collect financial billing information for submitting claims and submitting financial statements for private pay residents.
• Communicate with residents and their families regarding account balances due and billing inquiries.
• Monitor claim status, identify denials, and complete timely corrections and resubmissions.
• Reconcile resident accounts and investigate discrepancies.
• Monitor aging reports and follow up on outstanding balances.
• Update financial spreadsheets to monitor correct pay source and cost reports.
• Ensure accuracy of payments posted to residents' accounts in hospital billing system.
• Work closely with admissions, nursing, social services, and business office staff to ensure billing accuracy.
• Ensure compliance with Medicare, Medicaid, private insurance, and private-pay requirements.
• Maintain detailed, confidential records of billing activity and family communications.
• Assist with audits and provide requested documentation.
• Perform other duties as requested.

Position Requirements:

• High school diploma or equivalent required.
• Associate's degree or equivalent business experience preferred.
• 2 years of related work experience preferred.
• Experience with insurance billing preferred.
• Exceptional accuracy and attention to detail required.

Knowledge, Skills, & Abilities:

• Intermediate proficiency with computers is required.
• Must have exceptional customer service skills.
• Must be able to manage multiple tasks and priorities.
• Self-starter with excellent interpersonal communication and problem-solving skills.