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The Accounts Receivable Billing Specialist is responsible for timely and efficient billing and collection of account receivables for a group of skilled nursing facility and a central billing environment, within the parameters established by company policies and state imposed billing requirements, and as necessary to achieve reasonable collection goals.
Essential Responsibilities:
Daily Deposits
Responsible for the daily entry of deposits of all cash receipts of the facility.Completes reconciliation of posted cash between billing software and the bank at least twice per month (before mid-month billing and at the end of the month, at minimum).Handle questions from WEL Billing and Finance departments concerning cash receipts.Daily deposits and cash posting must be completed by noon daily.Billing
Verifies resident insurance coverage by using insurace portals.Enters new residents and/or ensure payer set-up is accurate for IL/AL and SNF.Verify demographic changes to resident information into the billing system.Ensure benevolent care credits, rate incentives and move-in incentives are posted.Manage the processing of claims for primary and secondary payer to ensure accuracy and timely collection of balance on accounts.
Ancillary Charges
Responsible for the verification of appropriate charges and the data entry of ancillary charges into the billing system (x-ray, lab, pharmacy, therapy).Ensure payer set-up is accurate and revenue books are accurate.Maintains files for supporting documentation including all charge sheets for the ancillary charges.
Private Pay Monthly Billing and Collection
Ensure ancillaries are posted and coordinate bill run with the Facility Business Office Staff for IL/AL and SNF private billing.Ensure rent roll is reconciled with the Facility Business Office Staff and Census is reconciled with Admissions Staff.
Medicare & HMO Billing and Collection
Ensure payer set-up in billing software is accurate.Submit claims and ensure timely collection of primary, secondary and private co-pays.Coinsurance billing for Medicare A & BPrivate collections
Medicaid Billing and Collection
Upon notification of MA application, contact POA/Guardian to review Medicaid requirements for resident income payments.Ensure payer set-up in billing software is accurate.Submit Medicaid claims and ensure timely collection of Medicaid Accounts Receivable through monthly electronic submission of claims, 180 paper claims and mid-month billing of new approvals.
Resident Trust Funds
Responsible for the timely and accurate data entry of resident fund activity.Reconcile resident trust fund accounts with Finance Staff.
Monthly Financial Close
Ensure all charges, cash and adjustments are postedReconcile facility census to billing software and ensure room rates are recorded accurately.Reconcile cash to the bank deposit report.Reconcile exchange accounts so that they are balanced. Reconcile bad debt write-offsReview revenue reconciliation prior to close to ensure that the rates are correctClose period upon Finance Department approval. Coordinate the financial function of closing each month for each nursing home facility in the accounts receivable financial software.System Support
Provide support to Facility Business Office staff for account review and account set-up and system functioningAttend monthly collections meetingDocumentation
Maintain resident financial filesPerforms tasks which are supportive in nature to the essential functions of the job, but which may be altered or redesigned depending upon individual circumstances. QualificationsRelated Experience:
Three plus years’ experience in Long Term Care (LTC) billing with knowledge of Point Click Care, medicare, medicaid, and third party billing for skilled nursing homes.Long Term Care (LTC) billing experience preferred.Prefered experience with insurance portals, NaviNet, Pear, Ability, Inovalon, UPMC, PA Health and Wellness, and Keystone First.
Education or Degree Requirements:
High School Diploma
Licenses, Certifications, Registrations:
NoneAt WEL, you will be paid at a competitive rate and enjoy a generous benefits package!
Some of our benefits include:
Health Insurance (including prescription and vision)Dental Insurance401(k) plansWellness programFlexible Spending AccountsTuition ReimbursementLife insuranceOther generous benefits
WEL is ranked #4 in the nation on the 2024 Fortune Best Workplaces in Aging Services list, and has been a Certified Great Place to Work for the past six years in a row. We got here because of our amazingly talented employees and their commitment to our mission of making a compelling difference in the lives of our residents!
We welcome your application and invite you to visit: www.wel.org to learn more about our 130+ year young organization, our enhanced living philosophy, and our award winning team of employees.
For the safety and protection of our residents, employees, and visitors our organization requires that all staff members receive the COVID-19 vaccine.
An Equal Opportunity Employer | A Mandatory COVID-19 and Influenza Vaccine Employer
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