Nursing Home Billing Specialist

Job Description

Job Description

The Teresian House is currently hiring. This opportunity is a Full Time Day position, working 8 am-4 pm! Thank you for considering Teresian House in your choice for employment!

The Nursing Home Billing Specialist is responsible for:

• Timely insurance verification of all referrals for potential admission to the facility.
• Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations (MCO's) and private insurance.
• Preparing and submitting claims, resolving billing issues, managing accounts receivable, and working with families and third-party payers to ensure proper reimbursement.
• Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic systems daily.
• Preparing and submitting timely billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid claims.
• Communicating with families, residents and insurance companies regarding account status and unpaid claims.
• Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices.
• Working with other departments to ensure accurate census date and payer sources are maintained.
• Assisting with audits and providing requested documentation for compliance and financial reviews.
• Maintain accurate and confidential billing records in accordance with HIPAA regulations.

Qualifications:

• High School Diploma or GED required. Associate's Degree in Accounting, Business or related field experience preferred.
• 2+ years of billing experience in a skilled nursing facility (SNF) or healthcare setting
• Strong knowledge of Medicare Part A/B, MCO's, NYS Medicaid and commercial billing.
• Experience with billing software - Point Click Care
• Proficient in Excel and data entry
• Excellent communication and organizational skills
• Ability to manage multiple tasks and meet deadlines
• Knowledge of HIPAA regulations and healthcare confidentiality standards.

Preferred Skills:

• Previous Nursing Home Billing experience.
• Knowledge of claims and experience resolving billing issues.
• Experience with SNF benefits specific to rehabilitation.
• Knowledge of NYS Medicaid application process.

Do you want to join a team committed to enhancing the lives of our residents by providing optimal service in a homelike atmosphere? We invite you to join our team and reap the benefits of becoming part of the Teresian House family :

• Excellent starting pay rate with competitive and generous benefits
• Generous paid time off with cash-in options
• Cost-shared health, dental, and optical insurance with a significant employer paid share
• Opportunity for career pathways
• Retirement plan with employer match
• Free meal daily
• Fully paid group life insurance
• Employee Assistance Plan including individual counseling and referral to community services
• Tuition assistance and scholarships!

Our mission is evident in the daily interactions our staff have with residents and their families. At Teresian House , we are truly "Where the spirit of love and dedication lives..."