Billing Specialist

Iroquois Skilled Nursing Community; Town of Onondaga (NY); On-site; USD 55,000 - 70,000; Full time

Job summary

Iroquois Skilled Nursing Community in the Town of Onondaga, NY is seeking a Skilled Nursing Facility Medical Billing Specialist to manage Medicare/Medicaid and private-pay billing. You will verify eligibility, explain admission terms, and handle denials and accounts receivable.

The ideal candidate has two years of healthcare billing experience and proficiency with billing software and Microsoft Office. Strong attention to detail and organizational skills are essential.

Qualifications

• Minimum of two years of healthcare or medical billing experience.
• Experience with Medicare/Medicaid and private-pay billing preferred.
• Strong attention to detail and organization.

Responsibilities

• Verify eligibility and benefits for new resident admissions.
• Explain admission agreements and obtain signatures.
• Perform medical billing for Medicare, Medicaid, and other payers.
• Review and resolve claim denials and billing issues.
• Post and balance payments received.
• Monitor and follow up on accounts receivable.
• Identify and resolve overpayments and discrepancies.
• Maintain organized billing records.
• Communicate billing matters clearly with residents, families, insurers, and staff.

Skills

Attention to detail

Communication skills

Problem-solving

Independent work

Education

Associate degree in Business Administration or related field

Tools

Medical billing software

Billing clearinghouses

Microsoft Office

Job description

JOB DUTIES:

Skilled Nursing Facility Medical Billing Specialist

Job Description

We are seeking a detail-oriented and experienced Medical Billing Specialist to join our team in a Skilled Nursing Facility. The ideal candidate will have experience with healthcare or medical billing and be comfortable working with Medicare, Medicaid, commercial insurance, and private-pay accounts.

Job Duties

• Verify eligibility and benefits for new resident admissions.

• Meet with residents and/or their families to explain admission agreements and obtain all required signatures.

• Perform medical billing functions, including billing Medicare, Medicaid, commercial insurance, and private-pay accounts.

• Review and resolve claim denials and billing issues.

• Post and balance electronic and manual payments.

• Monitor and follow up on outstanding accounts receivable.

• Identify, research, and resolve overpayments and other account discrepancies.

• Maintain accurate and organized billing records.

• Communicate professionally with residents, families, insurance companies, and facility staff regarding billing and payment matters.

Requirements

• Associate degree in Business Administration or a related field preferred but not required.

• Minimum of two years of experience in healthcare or medical billing.

• Experience with Medicare, Medicaid, commercial insurance, and private-pay billing preferred.

• Proficiency with Microsoft Office products, medical billing clearinghouses, and medical billing software systems.

• Strong attention to detail, organization, communication, and problem-solving skills.

• Ability to work independently while managing multiple priorities and deadlines.

Disclaimer

The responsibilities listed above are intended to describe the general nature and level of work performed in this position. They are not intended to be construed as an exhaustive list of all duties, skills, responsibilities, or requirements associated with the position.