Regional Billing Specialist

(PACS) Providence Administrative Consulting Services, Inc.; United States; On-site; USD 80,000 - 90,000; Full time

Job summary

PACS is seeking a Billing Specialist to manage claims billing and the revenue cycle for multiple facilities. You will submit claims, post payments, and monitor AR metrics while ensuring compliance with regulations.

The role requires knowledge of Medicare/Medicaid and SNF billing guidelines, and familiarity with PointClickCare and MS Office. Ideal candidates hold an associate degree or higher in accounting/finance, strong communication, and a team-oriented mindset.

Qualifications

• Associates degree or higher in Accounting, Finance, or related field preferred.
• HS diploma or GED required.
• Knowledge of Medicare, Medicaid, and Managed Care Insurances.
• Knowledge of state and federal SNF billing regulations and guidelines.
• Ability to adapt in a fast-paced dynamic environment.
• Ability to meet deadlines while achieving performance goals.
• Must have ability to think critically to resolve problems.
• Must possess strong written and verbal communication skills.

Responsibilities

• Accurate and timely submission of SNF claims to Medicare, Medicaid, HMO, and Managed Care payers.
• Payment posting and ensuring timely payment from all payers.
• Adherence to billing regulations and guidelines.
• Follow-up on outstanding claims and resolve discrepancies.
• Adjustment and write-off posting as necessary.
• AR metric reporting and trending reporting.
• Meet all performance goals.
• Assist staff with training and claim resolution.

Skills

Attention to detail

Team player

Deadline oriented

Communication skills

Critical thinking

Education

Associate degree or higher in Accounting/Finance or related field

HS diploma or GED

Tools

PointClickCare

Excel

Word

PowerPoint

Job description

General Purpose The Billing Specialist will assist in the management of claims billing and payment for multiple facilities. The Billing Specialist will perform all functions necessary through the revenue cycle of claims including proper revenue recognition, claims generation, claim submission, and follow-up through payment.

Essential Duties

• Accurate and timely submission of claims for Skilled Nursing Facilities (SNF) to all payers including Medicare, Medicaid, HMO, and Managed Care Insurances.
• Payment posting and ensuring accurate and timely payment from all payers.
• Adherence to all relevant regulations, policies, and billing guidelines.
• Following up on outstanding claims and resolving any billing discrepancies.
• Adjustment and write off posting as necessary.
• AR Metric reporting.
• Trending reporting.
• Meeting all performance goals.
• Providing assistance to other staff for training purposes and claim resolution.
• Other duties as required and assigned.

Qualification

• Associates Degree or higher in Accounting, Finance, 01 related field preferred.
• HS diploma or GED requires
• Knowledge of Medicare, Medicaid, and Managed Care Insurances.
• Knowledge of state and federal SNF billing regulations and guidelines.
• Ability to adapt in a fast-paced dynamic environment.
• Ability to meet deadlines while achieving performance goals
• Must have ability to critically think through problems to resolution.
• Must possess strong written and verbal communication skills
• Must be a team-player and willing to assist others when needed.

Experience

• It years of SNF billing experience.
• PointClickCare experience preferred
• Experience with the Microsoft suite of programs including Excel, Word, and PowerPoint

Physical Demands

• Prolonged periods of sitting or standing at a desk (typically 7-8 hours per day) while reviewing claims, posting payments, and analyzing AR metrics.
• Frequent, high-volume use of a computer mouse and keyboard for data entry, spreadsheet management (Excel), and navigating billing systems (PointClickCare).
• Close visual acuity required for extended screen time to review detailed financial data, identify billing discrepancies, and ensure accurate revenue recognition.
• Minimal physical exertion; rarely required to lift or move objects weighing more than 10 Ibs. (e.g., standard paperwork or light office supplies).
• Ability to effectively communicate via phone, video conferencing, and written email to collaborate with team members and resolve claim issues.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Salary Range

Salary Range: $80,000 - $90,000

Join PACS: Elevate Healthcare with Us!

PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and commitment, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide. If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare!

Join Our Team and Thrive!

At PACS, we believe our employees are our greatest asset. That’s why we offer an exceptional benefits package designed to enhance your well‑being and support your lifestyle.

Our Comprehensive Benefits Include

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

Join us at PACS and take advantage of a workplace that truly values you!

We celebrate diversity and are committed to creating an inclusive environment for all employees.

We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic.

Employment decisions are based on qualifications, merit, and business needs.

PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture.

We celebrate diversity and are committed to creating an inclusive environment for all employees.

We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic.

Employment decisions are based on qualifications, merit, and business needs.