Medical Billing Specialist | Retirement Community

Wesley Lea Hill; Seattle (WA); On-site; USD 41,000 - 59,000; Full time

Benefits offered by this job

Health insurance

PTO with accrual

403(b) with match

On-demand pay

Job summary

Wesley Lea Hill in Seattle is seeking a Billing Specialist II to manage billing for independent living and memory care services. You will ensure accurate statements and timely submissions, with a strong emphasis on Medicare, Medicaid, and private insurance billing.

The role requires an Associate's degree in accounting or related field, 2+ years healthcare billing experience in senior living, and proficiency with PointClickCare and EMR systems.

Qualifications

• Minimum of 2 years of experience in healthcare billing, with senior living focus.
• Proficiency with billing software and EMR systems.
• Strong knowledge of Medicare, Medicaid, and private insurance billing procedures.
• Ability to safeguard PHI and HIPAA compliant data transmission.

Responsibilities

• Billing Operations: Prepare, review, and submit accurate billing statements for residents across care levels.
• Insurance Claims Management: Submit and follow up claims to Medicare, Medicaid, and private insurers.
• Accounts Receivable: Monitor and collect outstanding balances and maintain records.
• Resident Account Management: Maintain up-to-date billing information, charges, payments, adjustments, and refunds.
• Compliance and Reporting: Ensure HIPAA compliance and assist in financial reporting and audits.
• Collaboration: Work with finance, nursing, and admin staff to resolve issues.
• Perform other duties as assigned.

Skills

Healthcare billing

Medicare billing

PHI handling

EMR systems

Billing software

Education

Associate's degree in Accounting

Bachelor's degree preferred

Tools

Point Click Care

Microsoft Office

Job description

Billing Specialist II We understand that finding a place to belong is important. At Wesley, we care about your development, we are committed to continuous improvement, and we all grow together. Wesley is a place where your energy and enthusiasm are welcome and your talents are developed. A place where you feel recognized, valued and rewarded. A place where you can dedicate yourself to caring for others, knowing that you are part of an organization that is equally dedicated to caring for you and your career.

Health & Insurance Benefits

Employees, and their families if elected, can participate in medical insurance (full time and ACA eligible), dental (full time), vision (full time) and group life (employee only coverage - full time).

Time Off & Holidays

We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. The PTO accrual rate increases after two years of service and again after five years of service. We offer 6 Paid Holidays (8 hours - full time, 6 hours - part-time per event, excluding on-call staff) and 1 Personal Holiday of Choice per year (excluding on-call staff).

Retirement & Financial Well-Being

Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule for the company match, and minors are ineligible for the company match. Gain access to your net earnings when you need it with on-demand pay through Dayforce Wallet.

Perks & Wellness

To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees for both emergency assistance and educational advancement. A food and beverage discount of 50% is available to all employees at any Wesley bistro and marketplace.

Recognition That Matters

The efforts and contributions of our valued employees are celebrated on our best-in-class recognition and reward platform, Inspire. Points earned for assorted reasons may be redeemed for a variety of merchandise, gift cards, cash cards, tickets, travel and other experiences selected by the employee. Wesley is two-time winner of the LeadingAge Washington Excellence in the Workplace Award.

Enrich the lives of older adults through community, choice, and continuing care in the Billing Specialist II role. We are seeking a detail-oriented and experienced Billing Specialist to manage and oversee the billing processes for a key segment of our retirement community. This role is pivotal in ensuring accurate and timely billing for a range of services, including independent living and assisted living memory care. The ideal candidate will have a strong background in healthcare billing, particularly within senior living or long-term care settings, and a thorough understanding of Medicare, Medicaid, and private insurance billing procedures.

Find your sense of belonging at Wesley!

Responsibilities

• Billing Operations: Prepare, review, and submit accurate billing statements for residents across different levels of care, ensuring compliance with federal and state regulations.
• Insurance Claims Management: Handle the submission and follow-up of claims to Medicare, Medicaid, Managed Care Organizations (MCOs), and private insurers, addressing denials and discrepancies promptly.
• Accounts Receivable: Monitor and manage accounts receivable, ensuring timely collection of outstanding balances and maintaining accurate records.
• Resident Account Management: Maintain up-to-date resident billing information, including charges for services, payments, adjustments, and refunds.
• Compliance and Reporting: Ensure adherence to HIPAA and other regulatory requirements, and assist in the preparation of financial reports and audits as needed.
• Collaboration: Work closely with the finance team, nursing staff, and administrative personnel to coordinate billing activities and resolve any issues related to resident accounts.
• Perform other duties as assigned.

Requirements and qualifications for success

• Associate's degree in Accounting, Finance, Healthcare Administration, a related field or equivalent work experience; Bachelor's degree preferred.
• Minimum of 2 years of experience in healthcare billing, with a focus on senior living or long-term care facilities.
• Proficiency in billing software systems (e.g., Point Click Care), electronic medical records (EMR), and Microsoft Office Suite.
• Ability to identify PHI and HIPAA and safeguard transmission of such information via secure file transfer system.
• Strong understanding of Medicare, Medicaid, and private insurance billing procedures, as well as state-specific regulations in Washington.
• Excellent verbal and written communication skills, with the ability to interact effectively with residents, families, and team members.
• High level of accuracy and attention to detail, with the ability to manage multiple tasks and meet deadlines.
• Certification in medical billing or coding preferred (e.g., Certified Professional Biller - CPB).
• Experience with Medicaid billing specific to Washington State.
• Familiarity with the financial operations of a retirement community.

Physical, environmental, and mental requirements

• Giving full attention to what other people are saying, taking time to understand points being made, asking questions as appropriate
• Near and far vision acuity
• Position requires repetitive motion such as working on computer terminal
• Ability to sit, stand, bend and twist for prolonged periods or intermittently throughout shift
• Ability to lift up to 25 pounds
• Subject to frequent interruptions
• Reliable transportation for occasional, same-day travel between work locations

Salary Range: $29.95 to $43.16 per hour