Billing Specialist

POMEROY Living Corporation; Sterling Heights (MI); On-site; USD 52,000 - 70,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Daily pay access (earned wages)

Flexible scheduling

Life insurance

Health insurance

401(k) retirement plan

Job summary

Pomeroy Living is seeking a Skilled Nursing Facility Billing Specialist to ensure accurate processing of Medicaid, Medicare and Managed Care claims. You will manage billing discrepancies, maintain resident records, and work across departments to optimize revenue cycles.

The role requires 2+ years in SNF billing, strong analytical and communication skills, and proficiency with EMR systems and billing software. On-site role in Sterling Heights, MI with comprehensive benefits.

Qualifications

• 2+ years of experience in skilled nursing facility billing and revenue management.
• Experience with Medicaid, Medicare and HMO claims.
• Strong analytical and problem-solving abilities.
• Excellent communication and customer service skills.
• Proficiency with EMR and billing software.

Responsibilities

• Process and submit Medicaid, Medicare and HMO claims accurately and timely.
• Manage and resolve billing discrepancies and errors.
• Maintain up-to-date resident records and billing information.
• Collaborate with other departments to improve revenue cycle processes.
• Stay current with Medicaid, Medicare and HMO regulations and guidelines.
• Participate in quality improvement initiatives to optimize billing.

Skills

Medicaid billing

Medicare billing

HMO claims processing

Analytical skills

Communication skills

Tools

EMR systems

Billing software

Job description

At Pomeroy Living, we are dedicated to providing high-quality care and services to our residents, and we are seeking a talented Skilled Nursing Facility Billing Specialist to join our team!

About the Role:

As a Skilled Nursing Facility Billing Specialist, you will play a vital role in ensuring the smooth operation of our billing and revenue management processes. You will be responsible for accurately processing Medicaid, Medicare and Managed Care claims, managing billing discrepancies, and maintaining a high level of customer satisfaction. Your strong analytical and problem-solving skills will be essential in resolving billing issues and optimizing our reimbursement rates.

Responsibilities:

• Process and submit Medicaid, Medicare and HMO claims in a timely and accurate manner
• Manage and resolve billing discrepancies and errors
• Maintain accurate and up-to-date resident records and billing information
• Collaborate with other departments to resolve billing issues and improve revenue cycle processes
• Stay up to date with changing Medicaid, Medicare and HMO regulations and guidelines
• Participate in continuous quality improvement initiatives to optimize billing and revenue management processes

Requirements:

• 2+ years of experience in Skilled nursing facility billing and revenue management, with a focus on Medicaid, Medicare and HMO claims
• Strong analytical and problem-solving skills
• Excellent communication and customer service skills
• Ability to work in a fast-paced environment and meet deadlines
• Proficiency in electronic medical records (EMRs) and billing software

Your Path to Success (Benefits):

• Competitive salary and a comprehensive benefits package that truly supports you.
• Paid Time Off – start accruing from day one of orientation! Get ready to relax.
• Paid Holidays – enjoy time with family and friends.
• Access up to 50% of your earned pay DAILY! – financial flexibility when you need it.
• Flexible scheduling – supporting your work-life balance.
• Company-paid Life insurance for all full-time staff.
• Excellent health coverage with Priority Health Medical, Delta Dental, and Vision Insurance.
• Secure your future with our 401(k) retirement plan.
• Clear and accelerated Career advancement opportunities within the Pomeroy Living family – this role is specifically designed for your upward mobility!