Billing Specialist

Job Description

Salary Starting at $32 per hour; Wage Commensurate with Experience

Hybrid Position

UB04 Claim Submission Experience Is Required

When you work at The Arlington, you have a front-row seat to the amazing life stories of the wisest people on earth. What’s more, you are part of an extraordinary company – one that’s investing in the future of senior living by investing in you. Don’t just do a job. Be part of an extraordinary life!

The The Arlington is recruiting for a Billing Specialist. In this role you will provide Financial support to the community, Accounting Director, and Executive Director. The Billing Specialist is responsible for reviewing and preparing billing data for third-party payer claims and private pay invoices, ensuring the accuracy and completeness of billing data, resolving billing issues, and maintaining accurate records. Adhering to policies and procedures and upholding the Community’s mission, philosophy, values and the Company’s vision, principles and Hospitality Promises is essential.

Here are a few of the daily responsibilities of a Billing Specialist:

• Compiles and inputs data for billing; prepares private pay invoices.
• Inputs data for Skilled Nursing Facility skilled and therapy only claims, generates monthly claims including electronic transmission and/or paper submission of claims to third-party payers: Medicare, Managed Care, and Commercial Insurance.
• Interfaces with Admissions staff, MDS Coordinator, and Therapy Director in review of billing information to evaluate accuracy and completeness of information for claims submission.
• Monitors claim processing and payments while accurately recording payments and adjustments within the billing system.
• Ensures compliance with current federal and state government regulations for all billing functions.
• Responds to customer inquiries regarding billing and payment.
• Monitors A/R aging and follows up on outstanding balances.
• Identifies and provides feedback about A/R billing issues to the Accounting Director.
• Assists in preparation of Medicare Cost Reports and Credit Balance reports.
• Assist with other accounting and finance functions as needed.
  
  

Here are a few of the qualifications we need you to have:

• Minimum of 2 years of experience with healthcare billing in a SNF or hospital setting, including Medicare and third-party insurance using the UB04 claim format.
• Ability to understand complex reimbursement structures and apply contractual and governmental regulations to billing processes.
• Ability to maintain a high level of confidentiality with sensitive information.
• Experience with CMS FISS/DDE systems (ie WPS)
• Experience using Point Click Care EMR system and Inovalon clearing house preferred.
• Proficient with Microsoft office (Excel and Word) and computer knowledge and/or experience.
  
  

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If you're an enthusiastic, compassionate, senior care professional who is passionate about hospitality and senior engagement- please apply, we'd love to get to know you! EEO Employer