Healthcare Billing Specialist

Full-time Medicare Billing & Census Specialist opportunity is available in our Missoula, MT accounting office. This role plays an integral part in the success of our team, our community and creating a place our residents are proud to call home.

The primary purpose of this position is managing the billing and accounts receivable functions for Medicare under the direction of the Regional Business Services Manager and in accordance with federal, state and local generally accepted accounting principles. This includes, but is not limited to, processing month end reports and reconciliation, timely filing of Medicare claims, following up on outstanding accounts receivable and timely application of cash receipts.

Hours: Full-time in Office, Days between 8am-5pm MST

In addition to competitive wage, this opportunity offers full healthcare options, long & short-term disability insurance, 401K, life insurance, pet insurance, continuing education benefits, and generous PTO.

Essential Job Functions

• Responsible for collection of Medicare accounts receivable in adherence to company collection policies and procedures.
• Responsible for timely updating of census in EHR system, accurate recording of census information in Excel census spreadsheets utilizing 24-hour shift reports, bed hold agreements, Medicare denial letters, C.O.I.’s, and other documents.
• Provide customer service for staff, residents and responsible parties with questions related to Medicare coverage, explanation of benefits and completing the Medicare Secondary Payer form.
• Effectively communicate with team members and other departments to ensure accurate and timely billing, resolve issues, and reduce outstanding A/R over 90 days.
• Data entry of monthly charges and cash receipts in EHR system.
• Maintains, reconciles and disburses funds for resident trust bank accounts in accordance with all state and federal regulations for assigned communities.
• Responsible for completion of month end close packet information by the 5th of each month, and audit information and year end reports by due dates.
• Other duties as assigned.
  
  
  

Knowledge And Critical Skills

• Be able to make independent decisions and follow instructions.
• Ability to read and interpret documents such as Medicare and Medicaid billing guidelines, policy and procedure manuals, and software training documentation.
• Ability to write routine reports and collection correspondence.
• Ability to speak effectively in small groups of employees of the organization, with resident’s family members and facility personnel.
• Ability to communicate in written or spoken form to various payer office personnel.
• Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages in order to reconcile resident accounts and ensure accurate payment was received.
  
  
  

Education And Experience

• 2 years Skilled Nursing billing and collections, including Medicare, Medicaid and Insurance billing.
• Technology proficient, including Excel, Word, billing software, and clearinghouse portals.
• Must be capable of maintaining regular attendance.
• Must be capable of performing the essential job functions, with or without reasonable accommodations.