Billing and Collections Specialist - Full-Time

The Loomis Communities; South Hadley (MA); On-site; USD 52,000 - 70,000; Full time

Job summary

Loomis Communities is seeking a Billing & Collections professional to manage timely revenue billing for private residents and government payers across multiple communities. The role ensures accurate payment posting, responds to inquiries, and addresses discrepancies with expediency.

Preferred candidates have at least 3 years in SNF billing, strong knowledge of Medicaid/Medicare, and excellent customer service skills. Travel between Loomis communities is required; on-site work only.

Qualifications

• 3+ years of billing/collections experience in a skilled nursing facility environment.
• Solid understanding of Medicaid, Medicare, and third-party billing.

Responsibilities

• Bill and collect revenue from private residents and government/third-party payers in a timely manner.
• Respond to resident inquiries and resolve discrepancies; follow up on aged receivables reports.
• Coordinate billing for Medicaid, Medicare, third-party insurance; meet monthly deadlines.
• Maintain availability across 3 communities to address billing inquiries; resolve issues promptly.
• Prepare and review bi-weekly aged receivables reports; highlight accounts with collectability concerns.
• Collaborate with stakeholders to improve charge capture processes and ensure regulatory reporting alignment.

Skills

Customer service

English proficiency

Communication

Problem solving

Teamwork

Education

B.S. Business Administration

Job description

Building on our proud traditions of integrity, security and hospitality, our vision is for Loomis to always be a vibrant, welcoming community, providing resources to maximize well-being and personal fulfillment; while sharing our talents and strengths with all those whose lives we touch.

Summary Description:

Responsible for the timely and accurate billing and collections of all revenue from private residents and all government and third-party payers; Provides timely resolution to resident discrepancies and inquiries; Assures adequate follow-up and explanation to all outstanding items on the aged receivables report.

Essential Functions:

• Performs job functions in a manner consistent with the mission and goals of the Loomis Communities.Adheres to The Loomis Communities Compliance and Ethics Program.
• Demonstrates an awareness of, a respect for and attention to the diversity of the people with whom they interact (persons served, personnel, families/caregivers, and other stakeholders) that is reflected in attitudes, behavior and services.
• Coordinates all billing for Medicaid, Medicare, third-party insurance, and private residents based on census and ancillary charges provided by facilities; Assures the completion of all billing in accordance with monthly deadlines.
• Maintains scheduled availability at all 3 communities to address resident billing inquiries; troubleshoots and resolves issues with residents in a timely manner
• Provides routine follow-up on unpaid claims; Runs bi-weekly aged receivables report for management and highlights accounts with concern of collectability; discusses challenging accounts with supervisor and other stakeholders as necessary
• Collaborates with all applicable stakeholders regarding systems, processes, and efficiency in terms of timely and accurate charge capture
• Reconciles quarterly PS&R and other regulatory reports to therapy logs and other internal subsidiary tracking reports.

Preferred Education:

• B.S. Business Administration

Required Experience:

• Minimum of 3 years billing/collection experience in a skilled nursing facility environment; Solid understanding of Medicaid, Medicare, and third-party billing as it relates to a skilled nursing facility.

Skills/Competencies:

• Strong customer service skills
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to read, write, and speak English.
• Ability to relate well to all residents.
• Ability to deal tactfully with personnel, residents, family members, visitors and the public.
• Ability to report to work regularly and promptly.
• Ability to work beyond normal hours when necessary.

***This position requires some travel between communities and is not a remote position.