Central Business Office Biller SNF

3 weeks ago


Springfield, United States Bear Mountain Health Care Full time

Billing Specialist

Bear Mountain Healthcare

Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, Private Billing and Masshealth Application Process.

Duties include:

- Review and bill out HMO/Insurance and Medicaid claims monthly.

- Work with families, attorney's and Masshealth to get residents approved for Medicaid.

- Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines.

- Calculate, prepare, and issue bills, invoices, account statements and other financial records according to established procedures.

- Entering census data in Point Click software, such as new patient information, discharge, and any other census information.

- Ensure patient account information is updated in a timely manner, including all patient data and insurance information

- Send out private bills monthly, review, research and respond to all patient inquiries regarding patient accounts.

- Daily deposits and post cash to patient accounts.

- Ensure overpayments/refunds are appropriately processed and applied to patient accounts.

- Post ancillary billing invoices in billing software monthly.

- Experience with (RFMS) Resident Fund Management Services.

- Perform additional duties as assigned.

Requirements Include:

- 3-5 years' experience in Billing and Collections in Skilled Nursing Facility.

- Experience with Point Click Care Software required.

- Candidates must be detail oriented with excellent computer skills.



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