Private Pay Billing Specialist

Billing Specialist

Illuminus is seeking a highly motivated individual with excellent collaboration and organizational skills to join our team as a Billing Specialist. In this role, you will be responsible for obtaining authorization, timely and accurate release of claims and managing collections on commercial insurances/Medicare Advantage/Medicaid/Family Care payer groups.

Summary

• Maintains and actively promotes effective communication with all individuals.
• Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values.
• Completes daily deposits and updates cash balance logs.
• Maintains resident census including admissions, discharges, status and payer changes and maintaining monthly census reports.
• Tracks and follows up on outstanding balances in accordance with facility policies.
• Participates in weekly billing meetings.
• Responsible for monthly billing and follow-up on outstanding claims.
• Submits required month end reports as needed.
• Responsible for managing, accounting for, and disbursing resident funds.
• Keeps Finance department management appraised of payment issues.
• Participates in Aging calls and keeps Finance department management appraised of expected payment issues.
• Tracks claims through clearinghouse and verify successful transmission.
• Posts ancillary charges and payments.
• Submits authorizations timely to prevent billing issues.
• Maintains positive attitude and approach to ever-changing work environment.
• Responsible for on-call and performs other duties, as assigned.

Requirements

• Two-year associate degree.
• Two years accounts receivable experience, preferably in healthcare.
• Word processing and spreadsheet knowledge.
• Typing and filing abilities.
• Commitment to quality outcomes and services for all individuals.
• Ability to relate well to all individuals.
• Ability to maintain and protect the confidentiality of information.
• Ability to exercise independent judgment and make sound decisions.
• Ability to adapt to change.

Benefits Include:

• FREE Direct Primary Care (DPC) for employees enrolled in our health plan no copays for primary care visits and personalized access to your provider
• Low-cost health insurance through our self-funded health plan designed to keep more money in your paycheck
• Dental, Vision, Life and Disability Insurance
• Flexible Spending Account (FSA)
• 401(k) Retirement Plan with a company match of $0.50 for every $1 you contribute, up to 6%
• Financial and Retirement Planning at No Charge
• Tuition Reimbursement
• Paid Time Off
• Mission-driven culture where you can make a meaningful difference every day

*Benefits may vary based on employment status.

If you are a highly motivated individual with a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities.

We invite you to apply today or visit our website for more information. We'd look forward to meeting you!

Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart, management support and consulting.

The people of Illuminus are not just our colleagues, our employees, our residentsthey are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.