SNF/LTC - Medicaid Billing Specialist

Job Summary:
The role's primary responsibility is to be a part of the Revenue Cycle process team. The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timely billing of the collection process of client revenue.

Responsibilities:

• Completes billing and collection efforts for all assigned payer types, including but not limited to generating clean claims, document billing, and collection activity, performing account analysis and problem-solving, and denials management.
• Performs Accounts Receivable management of outstanding client accounts by prioritizing accounts by age and revenue amount.
• Works effectively within the client and/or Richter Healthcare Consultants billing systems, responds to any client correspondence.
• Participates in accounts receivable reviews with the client as requested by management staff.
• Communicates effectively and responds to inquiries by client staff, co-workers, and other party representatives within 24 hours of request.
• Prioritizes and manages time to accomplish project goals and expectations within the appropriate deadline.
• Communicates status of projects to team leader/manager on a regular basis depending on project requirements
• Reports project status to client weekly via reports, documentation in software, or AR calls as directed.
• Identifies and escalates issues regarding tracking worksheets, at-risk accounts, incorrect database errors, communication, and payers to direct supervisor.
• Meets stated goals associated with the assigned workflow.
• Performs other duties as assigned.

Qualifications:

• High School Diploma or equivalent required
• Three to Five years of claims processing experience preferably with Skilled Nursing or Long-Term Care billing
• Must possess extensive knowledge of 3rd party payer types, as well as laws, regulations, and guidelines that pertain to healthcare providers.
• Must have the ability to make independent decisions and strong problem-solving skills.
• Must comply with all existing practices and HIPAA compliance guidelines.
• Ability to communicate appropriately with team members, staff, residents, facilities, and outside agencies.
• Experience with Electronic Medical Records Software, Point Click Care, Waystar Clearinghouse, e-solutions, Microsoft Office Suite