Billing & Receivables Coordinator

Job Description

Description:

FULL-TIME EXCELLENT BENEFITS

The Billing & Receivables Coordinator is responsible for managing/coordinating the various financial processes within the facility

with a focus on accounts receivable, collections, and the billing related to patient services, insurance claims, and

reimbursement. Overall responsibility to ensure timely, thorough, and accurate resident billing. The role also requires

knowledge of Medicare, Medicaid, Private Pay, and other insurance billing, including how to obtain authorizations. The

Billing & Receivables Coordinator plays a vital role in maximizing revenue and maintaining compliance with billing regulations.

This may include but not limited to:

Billing & Receivables Coordinator is responsible for Insurance Billing (Medicare, Medicaid, Commercial, and any other source that may come along including Private Pay)

Sending out resident statements and collecting due payments, accounts receivable, petty cash, resident trust, upholding and adhering to all regulations policies and procedures pertaining to the resident’s moneys/trust account.

Month end closing and census information communication

Insurance/Payer follow ups including follow up on outstanding denials and payments

Monthly, quarterly, yearly, and ad hoc reports

Audits

Rate changes

Cash receipt posting and bank deposits

Charge entries

Make appropriate updates in medical records and/or billing system

Authorizations and sending clinical documentation or related/requested supporting documentation for continued authorization.

Insurance verifications

Send revised or updated resident bills with reflecting correct insurance information.

Daily census changes and related communication, documentation, and billing updates.

Making changes in the billing software for new payers, plans, and anything that affects billing.

Communicate any discovered, current, or foreseeable billing concerns, payment issues, and/or outstanding accounts to the appropriate parties including the Administrator and Ownership.

Betsy Ross Nursing & Rehab Center is a 120-bed facility offering excellence in rehabilitation and skilled nursing care in a lovely homelike environment undergoing AN EXCITING LARGE-SCALE RENOVATION UNDER NEW MANAGEMENT! With a focus on rehabilitation and recovery, our skilled team of therapists and healthcare professionals assist residents in achieving optimal health and well-being. Our mission is to provide high quality care to all with respect and compassion through a team approach that focuses on personalized goals. We offer EXCELLENT Aetna Health benefits 1st of the month after hire date, along with other key benefits!

Requirements:

Associate degree in finance, healthcare administration, or a related field preferred. Relevant years of experience may be accepted in lieu of degree.

Experience in skilled nursing facility billing, required.

Must have demonstrated experience in billing Medicaid, Medicare, and HMO/Insurances/Commercial Billing.

Experience in monitoring and execution of collections and accounts receivable.

Experience in inputting of census information into billing and clinical software.

Strong knowledge and demonstrated experience in billing Medicaid, Medicare, and HMO/Insurances/Commercial Billing.

Strong knowledge of billing regulations, coding systems, and reimbursement processes.

Position requires knowledge of basic accounting practice, PDPM, billing coding, the appeals process, and UB04’s.

Strong attention to detail and analytical skills.

Excellent communication and interpersonal skills.

Proficient in using billing software and Microsoft Office applications.

Knowledge of financial procedures in all aspects of skilled nursing facility operations

Ability to prioritize responsibilities, meet deadlines, and manage time.

Ability to work independently and collaboratively within a team

Covid-19 vaccinations are encouraged but NOT MANDATED; we continue to offer COVID-19 vaccination based on eligibility guidance from CDC

We are an equal opportunity employer, celebrate diversity, & are committed to creating an inclusive work environment for all!