Skilled Billing Coordinator

Community First Solutions; Hamilton (OH); Hybrid; USD 39,000 - 53,000; Full time

Job summary

Community First Solutions in Hamilton, OH is seeking a Skilled Billing Coordinator to manage Medicare/Managed Care balances, billing, adjustments, and collections. Hybrid remote option allows flexible work after training, with a typical full-time schedule.

The role coordinates with Private and Medicaid Billing Coordinators, performs balance reviews, and maintains strong payer relationships. Requires data entry accuracy and solid Excel/EHR skills.

Qualifications

• High School Diploma or equivalent required.
• Minimum 1 year as a billing specialist.
• Experience in long-term care/skilled nursing facility or Behavioral Health agency is a plus.

Responsibilities

• Register Medicare/Managed clients in PCC.
• Ensure billing is complete and submitted by monthly deadlines.
• Post EFT payments daily.
• Reconcile posted payments weekly and at month end.
• Review outstanding invoices and follow up monthly.

Skills

Customer service

Attention to detail

Time management

Communication

Problem solving

Relationship management

Education

High School Diploma or equivalent

Tools

Point Click Care (PCC)

Excel

Word

Outlook

EHR software

Job description

Overview

Community First Solutions is seeking a Skilled Billing Coordinator to be responsible for all Skilled & Part B Medicare/Managed Care balances. This person will manage Medicare/Managed Care billing, adjustments, and collections and coordinate with Private and Medicaid Billing Coordinators for related balance issues, census review and client communication.

Status: Full-time, Monday - Friday. Eligible for hybrid remote work schedule one training is completed
Location: Community First Solutions in Hamilton, Ohio

Pay: Starting at $22/hour, based on experience

Responsibilities

• Ensures the registration of all Medicare/Managed clients have been completed accurately in Point Click Care (PCC)
• Verifies billing is complete and accurate and submitted within the monthly billing deadlines
• Posts EFT payments daily
• Reconciles and balances posted payments against each of the billing systems weekly and at month end closing.
• Reviews on a monthly basis the outstanding invoices on the open A/R and follow up as needed.
• Enters and posts related account adjustments with the exception of bad debt write off
• Follows up on all outstanding balances, determines if the invoice is collectible or provides feedback to the manger to accrue for the bad debt reserves as needed.
• Works all outstanding credit balances monthly, all government payers must be resolved within 60 days of recognizing the credit balance to the account. Resolved is defined as reviewed, refund request, and or request a recoupment to the payer within 60 days of receiving the payment.
• Manages Part A & B billing process
• Performs periodic audits and assist with special projects as requested.
• Posts ancillaries related to skilled clients
• Manages Medicare/ Managed Care recoupment process
• Reconciles EFT/ACH payments at month end
• Abides by the company Always Behaviors each and every day as we serve our clients, colleagues, and community.
• Will provide back up support for Medicaid and Private Pay Billing Coordinators as needed.
• All other duties as assigned and/or appropriate to the position.

Qualifications

Education: High School Diploma or equivalent

Licenses or other required certifications:

Experience: Minimum of one-year experience in a billing specialist position. Depending on billing area supporting, experience preferred in a long-term care/skilled nursing facility environment or a Behavioral Health agency. Experience working on Point Click Care software a plus

Specialized knowledge, skills, or abilities:

• Basic skills in Microsoft Office products (Excel, Word, Outlook)
• Knowledge of Point Click Care or other EHR software
• Knowledge of Medicare/ Insurance/ Medicaid billing requirements
• Understanding of payer contracts and fee schedules preferred
• Ability to operate a computer and basic office equipment
• Ability to manage relationships with various insurance payers
• Excellent customer service skills
• Excellent verbal, written and interpersonal communication skills
• Excellent problem solving skills
• Attention to detail, strong organization and time management skills
• Responsible use of confidential information