What are the responsibilities and job description for the Billing & Office Support Specialist position at PACS?
Billing & Office Support Specialist
Location: Centennial Post Acute
Pay: $30-35/hour
We are seeking a detail-oriented and organized Billing & Office Support Specialist to support our business office operations. This role is responsible for Medicaid billing, medical claims processing, collections management, account reconciliation, insurance coordination, and administrative office support. The ideal candidate will have healthcare billing experience, strong organizational skills, and the ability to manage multiple financial and administrative responsibilities in a fast-paced environment.
Why Join Us?
Key Responsibilities:
Qualifications:
Diversity and Inclusion:
We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.
Location: Centennial Post Acute
Pay: $30-35/hour
We are seeking a detail-oriented and organized Billing & Office Support Specialist to support our business office operations. This role is responsible for Medicaid billing, medical claims processing, collections management, account reconciliation, insurance coordination, and administrative office support. The ideal candidate will have healthcare billing experience, strong organizational skills, and the ability to manage multiple financial and administrative responsibilities in a fast-paced environment.
Why Join Us?
- Paid Time Off (PTO): Take time off when you need it with paid vacation and personal days to recharge and maintain a healthy work-life balance.
- Sick Leave: Take the time you need when you're not feeling well, with dedicated sick leave.
- Paid Holidays: Enjoy paid time off on major holidays to spend quality time with family and friends.
- Flexible Work Schedule: Tailor your work hours to fit your lifestyle, allowing for better work-life balance.
- Comprehensive Health Insurance: Full Medical, Dental, and Vision coverage to ensure you and your family have access to quality care
- Employee Assistance Program (EAP): Access confidential resources to support your mental, emotional, and financial well-being
Key Responsibilities:
- Prepare, submit, and monitor Medicaid claims to ensure accurate and timely reimbursement.
- Process Medicaid COINS billing and maintain accurate billing records.
- Perform medical claim processing and accounts payable (AP) support functions.
- Investigate and resolve claim denials, billing discrepancies, and rejected claims in coordination with Medicaid offices and insurance providers.
- Maintain current knowledge of Medicaid billing regulations, coding requirements, and compliance standards.
- Process and track insurance prior authorizations as required.
- Generate and review reports related to Medicaid claims, payments, adjustments, collections activity, and outstanding balances.
- Research and reconcile resident or property accounts to ensure accurate billing, payments, and financial records.
- Process RFMS deposits and withdrawals accurately and timely.
- Monitor and follow up on Medicaid applications, Medicaid pending accounts, private collections, private pay balances, and share of cost accounts.
- Prepare and submit Alaska Care LTC submissions and certification packets related to private pay accounts.
- Process account adjustments and assist with account reconciliation procedures.
- Collaborate with residents, family members, insurance providers, Medicaid offices, and internal departments to resolve billing and account issues efficiently.
- Perform clerical and accounting support duties, including cash receipts, filing, data entry, and maintaining organized financial records.
- Assist with general office support and administrative tasks as needed.
Qualifications:
- Previous experience with Medicaid claims processing, healthcare billing, medical office billing, or long-term care billing required.
- Strong understanding of Medicaid billing guidelines, reimbursement procedures, insurance processes, and compliance requirements.
- Experience with Medicaid pending accounts, private collections, private pay accounts, and share of cost billing preferred.
- Knowledge of insurance prior authorizations and medical claims processing.
- Experience with accounts receivable, collections, account reconciliation, and payment tracking preferred.
- Excellent organizational skills and strong attention to detail.
- Ability to prioritize tasks, manage deadlines, and work efficiently in a fast-paced environment.
- Strong communication and interpersonal skills with the ability to work collaboratively with residents, families, insurance providers, and internal teams.
- Proficiency in Microsoft Office and billing/accounting software systems preferred.
- Ability to work independently, exercise sound judgment, and resolve issues professionally and efficiently
- Experience in long-term care, assisted living, skilled nursing, or healthcare billing environments preferred.
- Familiarity with Medicaid COINS billing systems, RFMS processes, and Alaska Care LTC procedures.
- Strong analytical, problem-solving, and customer service skills
Diversity and Inclusion:
We are an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status, or any other legally protected status.
Salary : $30 - $35