Central Business Office Billing Specialist

7 days ago


Andover, Massachusetts, United States Bear Mountain Health Care Full time

Bear Mountain Healthcare is seeking a skilled Billing Specialist to join their team in a Skilled Nursing Home setting. The ideal candidate will have experience in Medicaid, HMO/Insurance, Private Billing, and Masshealth Application Process.


Key Responsibilities:
  • Review and bill out HMO/Insurance and Medicaid claims on a monthly basis.
  • Collaborate with families, attorneys, and Masshealth to secure Medicaid approvals for residents.
  • Investigate, resolve, and process claim denials and resubmits according to Insurance/Medicaid guidelines.
  • Calculate, prepare, and issue bills, invoices, account statements, and other financial records in accordance with established procedures.
  • Enter census data into Point Click software, including new patient information, discharge, and other census details.
  • Ensure timely updates to patient account information, including all patient data and insurance details.
  • Send out private bills monthly and respond to patient inquiries regarding patient accounts.
  • Process daily deposits and post cash to patient accounts.
  • Ensure overpayments/refunds are properly processed and applied to patient accounts.
  • Post ancillary billing invoices in billing software on a monthly basis.
  • Utilize experience with Resident Fund Management Services (RFMS).
  • Perform additional duties as assigned.

Requirements:
  • 3-5 years of experience in Billing and Collections in a Skilled Nursing Facility.
  • Experience with Point Click Care Software is required.
  • Candidates must be detail-oriented with excellent computer skills.


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