Billing Specialist

Description

To perform administrative and reimbursement functions; ensures compliance with all government, contract, and company policies and regulations. Identifies payment trends and helps to coordinate collection activities. Identifies denial trends and corrects situation; proficient with basic mathematical skills, detail-oriented, ability to multi-task, and ability to problem solve. Conducts timely Medicaid billing and ensures claims are paid accurately.

Perform general Accounts Receivable and Billing function for community. For each new resident this will include AR set up and to prepare, input, and maintain resident data in system upon move-in to include any demographic and status changes and confirm that billing systems and move-in systems match/reconcile.

Prepares, inputs, and maintains all Accounts Receivable data including monthly billing, billing adjustments, processing of cash receipts and monitoring of aging reports in a timely manner.

Requirements

Minimum Qualifications:

· Two years AR required, Associate degree in Accounting, Business, or a related field preferred.

· Prepare and handle billing for accounts to ensure timely reimbursement

· Ensure clean claims are submitted in a timely manner

· Research overdue accounts and follow up by email and/or phone to insurance carriers or customers on delinquent payments

· Review claims denied for payment or underpaid claims

· Resubmit claims with proper documentation for further carrier review

· Update financial spreadsheets

· Post payments and service dates to accounts to ensure accurate payment status and accurate account activity

· Report to upper management regarding outstanding balances on a monthly basis

· Research unidentified payments using internal sources, written communication or phone inquiries to determine appropriate accounts to post payments

· Research customer accounts thoroughly, and resolve discrepancies and prepare adjustments and refunds as necessary

· Able to clearly present information through the spoken word. Can accurately communicate, providing the necessary level of detail even under stressful or demanding conditions. Ensures a positive attitude and team orientation is exhibited in verbal and non-verbal communication.

· Able to read and write in English as demonstrated by clear and concise written and verbal communications; the ability to read e-mails, instructions, memos, regulations, company policies, and other documents as it relates to the position and job responsibilities. Proficient in using Microsoft Office particularly Excel, and have some Accounting software application experience Onesite a plus.

· Possesses ability to use of office machines including fax, multiple phone line systems, copy machine, calculator.

· You must have the ability to learn quickly; have the fore sight to improve processes; have the ability to work in a fast paced environment; and want to be contributing member of a close-knit team. 

Required Behavior:

· Demonstrates responsibility for, and handles accurately, the details associated with one’s work. 

· Organizes office resources in standardized manner to ensure compliance with federal/state regulations and to ensure timely location of files as needed to assist in making business decisions.

· Modifies style and approach in order to achieve a specific objective.

· Ability to define realistic, specific goals and objectives. Able to define tasks and deliverables necessary to meet goals. Can assign resources and set priorities to meet goals.

· Builds processes and policies in a way designed to drive efficiency and continuous improvement.

· Commitment to continuous improvement of business practices and to assuring that completed work adheres to high standards of accuracy and excellence.

· Identifies, obtains and effectively allocates the resources required to achieve applicable goals. 

· Able to demonstrate a high level of service delivery; does what is necessary to ensure customer satisfaction; deals with service failures and prioritizes customer needs.

· Able to clearly present information through the spoken word to our clients and coworkers; reads and interprets complex information as it relates to position; listens well.

· Able to communicate with others in a warm and helpful manner while simultaneously building credibility and rapport.

· Able to work cooperatively with a group of people to achieve goals and objectives.

· Able to be tactful; maintains confidences, and fosters an ethical work environment; prevents inappropriate behavior by coworkers; gives proper credit to others; handles all situations honestly.

· Able to keep an open mind and change opinions on the basis of new information; performs a variety tasks and changes focus quickly as demands change; manages transitions effectively from task to task; adapts to varying customer needs.

· Able to multi-task competing priorities and perform in fast paced working environment.

· Performs duties with a sense of urgency with a high level of accuracy

· Responsible to protect the Company’s confidential, classified, and/or proprietary information. 

Physical Demands:

• Physically able to move at least 20 lbs. without assistance.
• Physically able to bend, reach, and work in small areas.
• Physically able to push and pull equipment and furnishings.
• Physically be able to sit for long periods of time

Benefits:

Full time position offers a competitive benefit program to include Medical, Dental, Vision, Health FSA, Dependent Care FSA, Short-Term Disability, Long Term Disability, Life Insurance, Home and Auto Discount program, Vendor Discount Program, 401(k) with matching contribution, Accrued Vacation, Sick, and Personal time and Paid Holiday Benefit. Employee referral bonus, and resident referral bonus.