Position Summary

The Billing & Accounting Specialist will be responsible for accurately processing billing documentation, handling claims, ensuring compliance with Medicare and Medicaid regulations, and assisting with accounting related tasks.

Essential Duties and Responsibilities

• Process Billing Documentation: Accurately process invoices, statements, and claims for senior living homes' medical services.
• Claim Management: Handle claims submission, review denials, and coordinate appeals with insurance providers.
• Compliance: Ensure all billing practices comply with Medicare and Medicaid regulations, as well as senior living facility requirements.
• Reconciliation: Reconcile billing discrepancies, verify insurance eligibility, and resolve any issues related to billing.
• Communication: Collaborate with healthcare providers and senior living home staff to obtain necessary billing information and resolve billing inquiries.
• Reporting: Generate and maintain billing reports, tracking outstanding payments, and providing regular updates to management.
• Assist with additional accounting duties across all businesses:
  • Reconcile bank accounts on a weekly and monthly basis.
  • Creates upload, and post journal entries as transactional information for various business units into the accounting system.

Requirements

• Minimum of 2 years of experience in medical billing, specifically within the senior living or healthcare industry preferred and 2 years general accounting experience required.
• Associate degree or equivalent experience will be considered.
• Proficiency in medical billing software and Microsoft Office, with strong attention to detail.
• Knowledge of Medicare and Medicaid billing guidelines and regulations.
• Proficient with software systems including Microsoft Office Suite, Word, and Excel.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, and collections.

Success Factors

• Strong attention to detail, organization, and accuracy.
• Excellent communication and interpersonal skills, with the ability to interact with a diverse group of healthcare professionals, residents, and families.
• Strong organizational abilities and the capacity to manage multiple tasks effectively.
• Ability to meet deadlines and meet multiple demands on limited time.
• Certified Professional Coder (CPC) or Certified Billing and Coding Specialist (CBCS) certification.
• Point Click Care and Sage 300 Construction and Real Estate experience.