Billing Specialist

2 days ago


Naples, Florida, United States Freedom Pointe at The Villages Full time
Job Title: Billing Specialist

We are seeking a highly skilled Billing Specialist to join our team at Freedom Pointe at The Villages. As a Billing Specialist, you will play a critical role in ensuring the accuracy and completeness of billing data, resolving billing issues, and maintaining accurate records.

Responsibilities:
  • Compile and input data for billing, preparing private pay invoices.
  • Input data for Skilled Nursing Facility skilled and therapy only claims, generating monthly claims, including electronic transmission and/or paper submission of claims to third-party payers: Medicare, Managed Care, and Commercial Insurance.
  • Interface with Admissions staff, MDS Coordinator, and Therapy Director in review of billing information to evaluate accuracy and completeness of information for claims submission.
  • Monitor claim processing and payments while accurately recording payments and adjustments within the billing system.
  • Ensure compliance with current federal and state government regulations for all billing functions.
  • Respond to customer inquiries regarding billing and payment.
  • Monitor A/R aging and follow up on outstanding balances.
  • Identify and provide feedback about A/R billing issues to the Accounting Director.
  • Assist in preparation of Medicare Cost Reports and Credit Balance reports.
  • Assist with other accounting and finance functions as needed.
Requirements:
  • Minimum of 2 years of experience with healthcare billing, including Medicare and third-party insurance using the UB04 claim format.
  • Ability to understand complex reimbursement structures and apply contractual and governmental regulations to billing processes.
  • Ability to maintain a high level of confidentiality with sensitive information.
  • Experience with CMS FISS/DDE systems (ie WPS)
  • Experience using Point Click Care EMR system and Inovalon clearing house preferred.
  • Proficient with Microsoft office (Excel and Word) and computer knowledge and/or experience.

We offer a competitive salary starting at $32 per hour, commensurate with experience. If you are an enthusiastic, compassionate, senior care professional who is passionate about hospitality and senior engagement, please apply. We are an EEO Employer.



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