Fiscal Office Clerk, On-Site

Campbell Hall is a skilled nursing facility in Campbell Hall, NY, committed to delivering compassionate care to our residents. We're looking for a detail-oriented Fiscal Clerk to join our Finance team on a full-time, on-site basis. If you have a knack for accuracy, understand healthcare billing workflows, and want meaningful work in a supportive environment, we'd like to hear from you.

As our Fiscal Clerk, you'll be the backbone of our revenue cycle—ensuring that deposits are submitted correctly, timely, and completely. You'll work closely with nursing, clinical, and administrative staff to gather documentation, resolve billing issues, and maintain compliance with Medicare, Medicaid, and private insurance requirements. Your work directly supports our mission and keeps operations running smoothly.

What you'll do

• Prepare and submit Medicaid Applications to DSS.
• Prepare and submit recerts and 3559's
• Patient authorizations
• Review patient charts, admission paperwork, and clinical documentation to identify billable services and verify coding accuracy
• Maintain detailed records of all billing activity
• Respond to inquiries from residents, families, and insurance representatives regarding billing and payment status
• Private collections
• Deposits
• Stay current with changes to Medicare, Medicaid, and insurance billing rules and communicate updates to the clinical team
• Work with nursing and therapy staff to ensure complete and timely documentation that supports accurate billing

What you'll bring

• Strong attention to detail and commitment to accuracy in a high-volume environment
• Solid understanding of healthcare billing, insurance processes, and compliance requirements
• Excellent organizational and time-management skills to prioritize multiple claims and follow-ups
• Clear communication and problem-solving ability to work across departments and with external partners
• Proficiency with billing software, electronic health records (EHR), and standard office systems
• Integrity and discretion when handling sensitive financial and patient information

Why join us

• Full-time, on-site position with stable, predictable hours in a professional office setting
• Opportunity to grow your expertise in skilled nursing facility billing and healthcare finance
• Supportive team that values accuracy, collaboration, and continuous improvement
• Meaningful work that directly impacts our ability to care for our residents
• Professional development and training in billing compliance and evolving regulations

Requirements

• High school diploma or GED required; Associate's degree or higher in accounting, healthcare administration, or related field preferred
• Minimum 2 years of experience in healthcare billing, medical coding, accounts receivable, or similar finance role in a clinical setting
• Working knowledge of Medicare and Medicaid billing rules, insurance claim processes, and healthcare compliance
• Proficiency with billing software, EHR systems, and Microsoft Office (Word, Excel, Outlook)
• Strong written and verbal communication skills; ability to explain billing issues clearly to clinical and administrative staff
• Demonstrated ability to manage multiple priorities, meet deadlines, and work independently
• Ability to maintain confidentiality and handle sensitive financial and patient information in compliance with HIPAA
• Reliable transportation and ability to work full-time, on-site at Campbell Hall, NY
• Background check required per facility policy
• TB/PPD and vaccination status per facility health policy