SNF/LTC - Medicaid Billing Specialist

Regionalhand; Twinsburg (OH); Vor Ort; USD 40.000 - 60.000; Vollzeit

Zusammenfassung

Regionalhand in Twinsburg is seeking a Billing Specialist to join the Revenue Cycle process team. This role is pivotal in ensuring accurate billing and collection of client revenue. You will be responsible for managing billing efforts, handling client communication, and ensuring compliance with healthcare regulations.

The ideal candidate has a High School Diploma, with three to five years of claims processing experience. Familiarity with third-party payer systems and HIPAA compliance is essential. Join us in providing comprehensive billing services to clients.

Qualifikationen

• Three to five years of claims processing experience, preferably with Skilled Nursing or Long-Term Care billing.
• Ability to make independent decisions and strong problem-solving skills.
• Extensive knowledge of laws, regulations, and guidelines pertaining to healthcare providers.

Aufgaben

• Completes billing and collection efforts for assigned payer types.
• Performs Accounts Receivable management of outstanding client accounts.
• Communicates effectively with clients and team members within 24 hours.

Kenntnisse

Claims processing experience

Knowledge of 3rd party payer types

Problem-solving skills

Communication skills

HIPAA compliance

Ausbildung

High School Diploma or equivalent

Tools

Electronic Medical Records Software

Microsoft Office Suite

Point Click Care

Waystar Clearinghouse

Jobbeschreibung

Job Summary

The role's primary responsibility is to be a part of the Revenue Cycle process team. The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timely billing of the collection process of client revenue.

Responsibilities

• Completes billing and collection efforts for all assigned payer types, including but not limited to generating clean claims, document billing, and collection activity, performing account analysis and problem-solving, and denials management.
• Performs Accounts Receivable management of outstanding client accounts by prioritizing accounts by age and revenue amount.
• Works effectively within the client and/or Richter Healthcare Consultants billing systems, responds to any client correspondence.
• Participates in accounts receivable reviews with the client as requested by management staff.
• Communicates effectively and responds to inquiries by client staff, co‑workers, and other party representatives within 24 hours of request.
• Prioritizes and manages time to accomplish project goals and expectations within the appropriate deadline.
• Communicates status of projects to team leader/manager on a regular basis depending on project requirements.
• Reports project status to client weekly via reports, documentation in software, or AR calls as directed.
• Identifies and escalates issues regarding tracking worksheets, at‑risk accounts, incorrect database errors, communication, and payers to direct supervisor.
• Meets stated goals associated with the assigned workflow.
• Performs other duties as assigned.

Qualifications

• High School Diploma or equivalent required.
• Three to Five years of claims processing experience preferably with Skilled Nursing or Long-Term Care billing.
• Must possess extensive knowledge of 3rd party payer types, as well as laws, regulations, and guidelines that pertain to healthcare providers.
• Must have the ability to make independent decisions and strong problem-solving skills.
• Must comply with all existing practices and HIPAA compliance guidelines.
• Ability to communicate appropriately with team members, staff, residents, facilities, and outside agencies.
• Experience with Electronic Medical Records Software, Point Click Care, Waystar Clearinghouse, e-solutions, Microsoft Office Suite.

All Richter employees agree to be bound by applicable company policies, including confidentiality, security, appropriate standards of conduct, etc., which are customary and standard across most companies for compliance and the assurance of a safe and productive work environment. This offer is contingent upon the successful completion of a background check and drug screening.