Senior Third Party Billing Specialist
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Job Description
Senior Third Party Billing Specialist responsible for full-cycle billing and collection processes in skilled nursing. Ensuring accuracy in billing and compliance with healthcare regulations.
Responsibilities:
- Ensures the financial success of the organization by performing full-cycle billing & help with collection procedures for skilled nursing facilities.
- Responsible for the full cycle of Accounts Receivable, including but not limited to private and governmental contracts for the skilled nursing facilities.
- 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.
- 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.
- 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.
- Performs reconciliation of billing and collections and is able to identify unbilled or rejected services and accurately rebill.
- Assist facilities with various government audits including Medicare RAC audits and appeals as needed.
Requirements:
- 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
- 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.
Benefits:
- Medical
- Vision
- Dental
- 401(k) with instant matching
- Generous PTO
- Much more!
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