Billing Specialist

Presbyterian Villages of Michigan; Chesterfield Charter Township (MI); On-site; USD 32,000 - 52,000; Full time

Job summary

Presbyterian Villages of Michigan is seeking a dedicated Billing Clerk to manage Medicare and Medicaid billing for long-term care residents. You will process charges, prepare monthly resident statements, and ensure payments are posted accurately to patient accounts.

You will verify data accuracy, respond to inquiries, and maintain documentation compliant with applicable regulations. Proficiency with database, spreadsheet, and word processing tools is essential.

Qualifications

• 3 years’ experience with Medicare, Medicaid and Third Party billing in Long Term Care.

Responsibilities

• Compute rates for services rendered to complete billing documents.
• Review documents to compute fees or charges due.
• Prepare itemized monthly resident statements and record amounts due for services rendered.
• Verify accuracy of billing data and revise any errors.
• Receive and record daily accounts receivable payments; report deposits to required persons.
• Receive payments and post amounts paid to resident accounts; record ancillary charges.
• Collect, organize and maintain documentation for Medicare, Medicaid or private insurance companies.
• Contact customers to obtain or relay account information.
• Answer resident or family inquiries regarding billings for private, Medicare or Medicaid.

Skills

Medicare Billing

Medicaid Billing

Third-Party Billing

Accounts Receivable

Education

High School Diploma or GED

Tools

Database software

Spreadsheet software

Word processing software

Job description

Overview

Receive, verify, and pay all bills and invoices for organization. Operate account payable software to record all vendor information, invoices, and payments.

Responsibilities

1. Compute rates for services rendered to complete billing documents.
2. Review documents to compute fees or charges due.
3. Prepare itemized monthly resident statements and record amounts due for services rendered.
4. Verify accuracy of billing data and revise any errors.
5. Receive and record daily accounts receivable payments. Report deposit to required persons.
6. Receive payments and post amounts paid to customer accounts. Record ancillary charges to resident's accounts.
7. Collects, organizes and maintains appropriate documentation for Medicare, Medicaid or private insurance companies.
8. Contact customers to obtain or relay account information.
9. Answer resident or resident family inquiries regarding private, Medicare, Medicaid or private insurance billings.
10. Admits, discharges or transfers residents on census driven system
11. Organizes and assists in the evaluation and collection of outstanding charges and delinquent accounts, keeping Village receivables at appropriate collection rates.
12. Consult sources such as websites, manuals, or insurance company representatives to determine specific charges or information such as rules, regulations, benefit coverage, or government information.
13. Maintains filing system for records.
14. VEH: Maintain Resident Trust Fund
15. Follow established policies and procedures including but not limited to:
    • Presbyterian Villages policies and procedures.
    • Safety policies and procedures.
    • Federal, state and local regulations.
16. All other duties as assigned

Qualifications

3 years’ experience with Medicare, Medicaid and Third Party billing in Long Term Care.

Education: High School Graduate or General Education Degree (GED)

Computer Skills

• Ability to operate a compute
• Proficient in database, spreadsheet, word processing software.