Long Term Care Billing Specialist

St. Gabriel's Community; Eagan (MN); Hybrid; USD 34,000 - 39,000; Full time

Benefits offered by this job

Hybrid work model

In-office two days a week

Job summary

Benedictine Living is seeking an Accounts Receivable Specialist to perform daily AR processing and coordinate workflow between communities and the Central Billing Office. The role focuses on timely billing and collections across multiple payer sources.

The position requires knowledge of Medicaid and insurance reimbursement, plus proficiency with Word, Excel, and AR software. Hybrid work is offered, with two days in Fridley, MN and remaining work-from-home days.

Qualifications

• High School Diploma or equivalent.
• Experience in private pay collections with Fair Credit and Collections rules.
• Knowledge of Medicaid and Insurance reimbursement systems, including billing forms and third party payer requirements for the states Benedictine Communities operate in (MN, WI, MO, IL, ND).
• Knowledge of and skill in using computers and related software for word processing (Word), spreadsheet (Excel) and accounts receivable software such as billing and clearinghouses.

Responsibilities

• Manage accounts receivable billing and collection of payments for all designated payers and locations to meet and maintain goals.
• Monitor Medicaid, Medicaid Coinsurance, Medicaid Therapy, Hospice, Veterans Administration, Long Term Care Insurance and other designated payer sources to ensure timely filing for primary and secondary payers.
• Monitor A/R aging and coordinate with AR/Billing Supervisor and Nursing Home Administrator; collect private pay balances to ensure statements are processed and paid promptly.
• Comply with all related laws and regulations pertaining to the position and the Benedictine Corporate Compliance Program.

Skills

Private pay collections

Medicaid knowledge

Billing software

Microsoft Word

Microsoft Excel

Education

High School Diploma

Tools

Billing software

Clearinghouses

Job description

Overview

Performs accounts receivable daily processing for the skilled accounts receivable (A/R) system and assuring workflow between the individual Communities and the Central Billing Office (CBO) is accurate and timely.

Responsibilities

• Manage accounts receivable billing and collection of payments for all designated payers and designated locations in order to meet and maintain goals.
• Monitors Medicaid, Medicaid Coinsurance, Medicaid Therapy, Hospice, Veterans Administration, Long Term Care Insurance and other designated payer sources as assigned to ensure billing and claims are accurately and timely filed on behalf of their designated facility for both Primary and Secondary payers.
• Monitor A/R aging, accessing the accounts for further attention by involving the A/R and Billing Supervisor and/or Nursing Home Administrator; collects private pay balances to ensure statements are processed and paid promptly.
• Comply with all related laws and regulations pertaining to the position and for fulfilling the obligations under the Benedictine Corporate Compliance Program.

Qualifications

Required:

• High School Diploma or Equivalent
• Experience in private pay collections along with rules and regulations relating to Fair Credit and Collections
• Knowledge of Medicaid and Insurance reimbursement systems, including billing forms and requirements for various third party payers in the States where Benedictine Communities are located (Minnesota, Wisconsin, Missouri, Illinois, and North Dakota)
• Knowledge of and skill in using computers and related software for word processing (such as Word), spreadsheet (such as Excel) and accounts receivable software such as billing and clearinghouses

Preferred:

• Accounts Receivable long term care billing experience
• Knowledge of regulations affecting facility business offices

EEO/AA/Vet Friendly

Salary Range

$25-$28 an hour

Benefits Statement

A robustbenefits package is available to eligible associates, designed to meet the needs of every stage of life, including paid time off (PTO), retirement, medical, dental, vision, education assistance, and a variety of additional voluntarybenefits. For more information visit our website atwww.benedictineliving.org.

Additional Information

Hybrid work model, 2 days a week at our office in Fridley, the remaining is work from home.