Remote LTC Biller

HealthPro Heritage; Greenville (SC); Remote; USD 40,000 - 70,000; Full time

Job summary

An innovative organization is seeking a dedicated Long-Term Care Biller to join their fully remote team. This role offers an exciting opportunity to manage billing processes, resolve account balances, and contribute to month-end closures. The position emphasizes a collaborative culture, providing a chance to work alongside skilled professionals in a supportive environment. With a focus on compassionate care and professional growth, this role is ideal for someone looking to make a meaningful impact in the healthcare sector. Join a mission-driven team that values your expertise and fosters continuous learning.

Benefits

Competitive Benefits Package

Growth Opportunities

Collaborative Culture

Purpose-Driven Work

Qualifications

• 2+ years of experience in Accounts Receivable or Denial Management.
• Proficient in medical information systems and billing software.
• Strong communication and organizational skills.

Responsibilities

• Manage LTC billing processes including invoice creation and payment posting.
• Collaborate with various teams to resolve billing issues.
• Ensure compliance with medical coding guidelines and policies.

Skills

Accounts Receivable

Denial Management

Invoice Billing

Medical Billing

Customer Service

Microsoft Office Suite

Education

High School Diploma

Associate's Degree in Accounting or related field

Tools

Net Health system

Microsoft Outlook

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

Overview

HealthPro Heritage has a great Long-Term Care (LTC) Biller opportunity! This full-time, fully remote position is responsible for resolution of facility contract account balances and assisting in the successful completion of Month end closure!

Why Choose HealthPro Heritage?

• Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.
• Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
• Collaborative Culture:Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
• Commitment to Excellence:Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
• Competitive Benefits Package:Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!

Join Us in Making a Difference

At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.

Responsibilities

• Responsible for various aspects of the LTC Billing process: Entering facility contracts, Invoice creation, payment posting, invoice submission, and outstanding facility balance tracking. These invoices are processed through the Net Health system electronically.
• Obtains supporting documentation, i.e., contracts, reports, census, medical records through the various systems used by HPH.
• Reviews, interprets, and applies contract terms into Net Health system and identifies and/or applies payments and adjustments as per contract guidelines.
• Assist in successful month end closure of LTC sites. Demonstrates appropriate and timely communication.
• Assisting with step by step training/workflow documents.
• Serves as a resource for problem solving issues related to LTC billing.
• Works correspondence including support tickets, emails, and phone messages from internal and external teams.
• Works collaboratively with LTC Collections team, RCM direct billing team, RCM Cash posting team, Credentialing/Provider Enrollment and field teams.
• Assists Accounting/Finance Team as needed with issues/concerns.
• Ability to follow department processes and controls.
• Complying with medical coding guidelines and HealthPRO-Heritage policies. Ensuring codes are accurately assigned and sequenced correctly in accordance with government and insurance regulations.
• Demonstrate knowledge of the Revenue Cycle and the impact denial decisions on revenue cycle.
• Reviewing and processing insurance denials, analyzing Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERA) forms as needed.
• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing.
• Other duties as assigned.

Qualifications

• 2+ years of work experience as a Accounts Receivable/Denial specialist and or Invoice/Contract billing and Professional Physician (ProFee) billing, preferred.
• Computer literacy of medical information systems, records management software.
• Good computing knowledge in Microsoft Outlook, Word, Excel, PowerPoint etc.
• Excellent communication and customer service skills, both verbal and written.
• Understanding of contract/invoice billing and third-party reimbursement rules and regulations. Medical Billing experience preferred.
• Outstanding organizational, detail oriented and time management skills.
• Ability to work independently as well as part of a team when necessary.
• Excellent typing and 10-key speed and accuracy.