Central Business Office Biller SNF

1 week ago


Springfield, Illinois, United States Bear Mountain Health Care Full time
Billing Specialist Job Description

Bear Mountain Healthcare is seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with expertise in Medicaid, HMO/Insurance, Private Billing, and Masshealth Application Process.

Key Responsibilities:
  • Review and bill out HMO/Insurance and Medicaid claims monthly.
  • Work with families, attorneys, 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.
  • Enter 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:
  • 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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