Corporate Senior Third Party Billing Specialist

Location:

1

1

11

1

The salary for this role is $75,000 to 85,000 DOE . This position is remote and we offer great pay nad benefits including Medical, Vision, Dental, 401(k) with instant matching, generous PTO, and much more!

We are hiring a Senior Third Party Billing Specialist to join the team! This important role ensures the financial success of the organization by performing full-cycle billing & help with collection procedures for the skilled nursing facilities as well as providing accurate reports to accommodate billing and payment processes.

Our Senior Billing Specialist:

• Is responsible for Full cycle of Accounts Receivable, including but not limited to private and governmental contracts - Federal, State and local for the skilled nursing facilities.  This includes all 3rd party payors including Medicare, HMOs, coinsurance, private pay, etc.
• Ensures all billing is being completed/submitted accurately, timely and in accordance with set policies and procedures.
• Assists with private pay billing at other levels of care as needed.
• Ensure all ancillary charges are entered and accurate on bills before they are submitted.
• Participates in Accounts Receivable aging reviews with facility staff and Accounts Receivable Manager on a regular basis.
• Assists facilities in collection procedures on private and insurance balances.
• Assists in analysis on legacy clients to identify collectability of accounts receivable. Proceeds with collection procedures in collaboration with Accounts Receivable Manager and facility team.
• Reconciles Accounts Receivable with general ledger and posts all cash receipts received to appropriate accounts.
• Coordinates with Accounts Receivable Manager and facility staff/management to ensure accuracy of records in order to convert records to billing numbers according to client’s billable source.
• Performs reconciliation of billing and collections and is able to identify unbilled or rejected services and accurately rebill, sometimes in collaboration with Accounts Receivable Manager and/or subject matter experts.
• Assist facilities with various government audits including Medicare RAC audits and appeals as needed.
• Establishes a compassionate and respectful environment by practicing good communication skills
• Maintains a cooperative and respectful relationship with co-workers, clients and others by communicating information; responding to requests; building rapport; participating in team problem-solving; conducting self in a professional manner.
• Assures quality of care by adhering to organizational values, standards and legal requirements; following policies and procedures; participating in improvement and change; reporting and proposing needed changes.
• Maintains the credibility and reputation of organization by complying with regulatory standards and legal requirements; and by keeping information confidential.
• Enhances professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing professional networks and participating in professional societies.
• Supports the Mission, Vision, and Values of Transforming Age in all areas of responsibility.
• Performs other duties as assigned.

What you need to succeed:

• Associates degree in related field, or equivalent combination of education/experience.
• Strong knowledge of healthcare industry required.
• Must have Medi-Cal (California specific) billing Experience
• Ability to occasionally travel to our sites in Saratoga and Napa, CA on occasion.
• Current valid driver's license required (for occasional travel to communities in Saratoga/Napa).
• Must have Medicare, HMO, and other insurance billing experience
• At least 10 years of experience working with Medicaid, Medicare, Insurance claims or in a claims processing environment
• Demonstrated effective written and oral communication and presentation skills and the ability to communicate complex financial information to diverse audiences.
• Ability to troubleshoot and critically think through processes and issues
• Working knowledge of Microsoft Office Suite including excel and billing software.
• Workday experience strongly preferred.