Job Description
Summary: The Billing Coordinator is responsible for overseeing accounts receivable, billing, and census management for the skilled nursing facility (SNF). This role acts as a key point of contact for residents, families, and insurance companies regarding financial matters, ensuring accuracy, compliance, and professionalism.
Key Responsibilities: - Assist residents and families with financial inquiries, provide information on available resources, and offer guidance on the financial aspects of Nursing and Long-Term care.
- Assist with the admissions process, including paperwork and contract signing.
- Verify Medicare, Managed Care, Therapy, and supplemental insurance eligibility.
- Verify CCM and Optum.
- Oversee resident billing, answer questions, and address financial issues with empathy and professionalism.
- Review of ancillary charges (meals, salon, etc.) to confirm accuracy.
- Coordinate billing with third-party vendors according to the vendor checklist.
- Oversee and coordinate billing and collections for Private Pay, Co-insurance, Worker’s Comp, Managed Care and Long-Term Care.
- File Long-Term Care Insurance when applicable.
- Work with insurance providers to ensure accurate billing and reimbursement.
- Maintain accurate and organized records of financial documents, patient information, and other necessary documentation.
- Maintain accurate resident census records with daily updates.
- Track Medicare and Managed Care data.
- Ensure compliance with state and federal regulations related to healthcare and nursing home operations.
- Maintain patient privacy and adhere to HIPAA laws and facility policies.
Qualifications for Success: - Fluent in English with strong written and verbal communication skills.
- Minimum of 2 years of related experience in billing, accounts receivable, or healthcare finance.
- Proficient in Microsoft Excel, Word, and other relevant software systems.
- Experience with Matrix Training (preferred) and familiarity with long-term care software systems (e.g., PointClickCare, NetSolutions).
- Knowledge of Medicare, Medicaid, and Managed Care regulations and reimbursement methodologies.
- Certification in Medical Billing or Coding (e.g., Certified Professional Biller, Certified Medical Reimbursement Specialist) is a plus.
- Familiarity with federal and state regulations specific to skilled nursing facilities.
- Understanding of HIPAA compliance and patient privacy regulations.
- Strong organizational skills with attention to detail and the ability to manage multiple tasks effectively.
- Demonstrated problem-solving and analytical skills for identifying and resolving billing discrepancies.
- Professional appearance, attitude, and performance in interactions with residents, families, insurance providers, and regulatory agencies.
- Empathy and patience when addressing financial matters with residents and their families.
- Ability to work independently and collaboratively in a fast-paced environment.
- Flexibility to adapt to changes in healthcare policies and billing procedures.
Job Tags
Full time, Contract work,