Insurance Billing & Admissions Specialist - Johnston, RI

MissionHires; Johnston (RI); On-site; USD 60,000 - 85,000; Full time

Benefits offered by this job

Competitive salary

Impactful role

Family-owned organization

On-site work in RI

Job summary

MissionHires seeks an experienced Insurance Billing & Admissions Specialist to support business office and admissions operations at a skilled nursing facility in Johnston, RI. This full-time, on-site role handles insurance billing, payer follow-up, coverage verification, and intake coordination to ensure timely resident access to care.

Responsibilities include managing Medicare/Medicaid and other payer relationships, resolving denials, maintaining resident accounts, and coordinating admissions

Qualifications

• Minimum of 2 years of insurance billing experience in a skilled nursing facility or nursing home setting.
• Strong knowledge of medical insurance billing and reimbursement processes in a nursing home environment.
• Experience with Medicare, Medicaid, managed care, and commercial insurance plans.
• Strong attention to detail, organization, and follow-up skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Excellent communication and customer service skills.
• Admissions experience in a skilled nursing facility or healthcare environment is preferred.

Responsibilities

• Process and manage medical insurance billing for residents.
• Verify insurance coverage, benefits, eligibility, and authorization requirements.
• Work with Medicare, Medicaid, managed care, and commercial insurance plans.
• Follow up on unpaid claims, denials, and billing discrepancies.
• Maintain accurate billing records and resident account information.
• Assist with admissions paperwork and resident intake coordination.
• Ensure admissions documentation is complete and maintained throughout intake.
• Communicate with insurance companies, residents, families, and facility staff.
• Manage multiple billing and admissions priorities to meet timelines.

Skills

Insurance billing

Payer follow-up

Admissions coordination

Communication skills

Attention to detail

Job description

We are seeking an experienced Insurance Billing & Admissions Specialist to support business office and admissions operations within our skilled nursing facility. This full-time, on-site role is responsible for accurate insurance billing, payer follow-up, coverage verification, resident account maintenance, and coordination of admissions documentation and intake processes.

Responsibilities:

• Process and manage medical insurance billing for skilled nursing facility residents.
• Verify insurance coverage, benefits, eligibility, and authorization requirements.
• Work with Medicare, Medicaid, managed care, commercial insurance, and other payer sources.
• Follow up on unpaid claims, denials, billing discrepancies, and outstanding resident balances.
• Maintain accurate billing records and resident account information.
• Assist with admissions paperwork, resident intake, and coordination with families and internal departments.
• Ensure admissions documentation is complete, accurate, and maintained throughout the intake process.
• Communicate effectively with insurance companies, residents, families, and facility staff.
• Manage multiple billing and admissions priorities while meeting required timelines.

Requirements:

• Minimum of 2 years of insurance billing experience in a skilled nursing facility or nursing home setting.
• Strong knowledge of medical insurance billing and reimbursement processes in a nursing home environment.
• Experience working with Medicare, Medicaid, managed care, and commercial insurance plans.
• Strong attention to detail, organization, and follow-up skills.
• Ability to manage multiple priorities in a fast-paced healthcare environment.
• Excellent communication and customer service skills.
• Admissions experience in a skilled nursing facility or healthcare environment is preferred.

Benefits:

• Competitive annual salary of $60,000 to $85,000, based on experience and qualifications.
• Opportunity to make a meaningful impact on resident access to care and the admissions experience.
• Collaborative role supporting both business office and admissions functions within a skilled nursing facility.
• Opportunity to work for a family-owned senior care organization focused on compassionate, personalized care.