Regional Billing Specialist

Billing Specialist

The Billing Specialist will assist in the management of claims billing and payment for multiple facilities. The Billing Specialist will perform all functions necessary through the revenue cycle of claims including proper revenue recognition, claims generation, claim submission, and follow-up through payment.

Essential Duties

• Accurate and timely submission of claims for Skilled Nursing Facilities (SNF) to all payers including Medicare, Medicaid, HMO, and Managed Care Insurances.
• Payment posting and ensuring accurate and timely payment from all payers.
• Adherence to all relevant regulations, policies, and billing guidelines.
• Following up on outstanding claims and resolving any billing discrepancies.
• Adjustment and write off posting as necessary.
• AR Metric reporting.
• Trending reporting.
• Meeting all performance goals.
• Providing assistance to other staff for training purposes and claim resolution.
• Other duties as required and assigned.

Qualification

Education and/or Experience

• Associates Degree or higher in Accounting, Finance, or related field preferred. HS diploma or GED required.
• Knowledge of Medicare, Medicaid, and Managed Care Insurances.
• Knowledge of state and federal SNF billing regulations and guidelines.
• Ability to adapt in a fast-paced dynamic environment.
• Ability to meet deadlines while achieving performance goals.
• Must have ability to critically think through problems to resolution.
• Must possess strong written and verbal communication skills. Must be a team-player and willing to assist others when needed.

Experience

• Two years of SNF billing experience.
• PointClickCare experience preferred.
• Experience with the Microsoft suite of programs including Excel, Word, and PowerPoint.

Physical Demands

• Prolonged periods of sitting or standing at a desk (typically 7-8 hours per day) while reviewing claims, posting payments, and analyzing AR metrics.
• Frequent, high-volume use of a computer mouse and keyboard for data entry, spreadsheet management (Excel), and navigating billing systems (PointClickCare).
• Close visual acuity required for extended screen time to review detailed financial data, identify billing discrepancies, and ensure accurate revenue recognition.
• Minimal physical exertion; rarely required to lift or move objects weighing more than 10 Ibs. (e.g., standard paperwork or light office supplies).
• Ability to effectively communicate via phone, video conferencing, and written email to collaborate with team members and resolve claim issues.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above.

They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Salary Range: $80,000 - $90,000