Billing Specialist
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Job Location:
Minneapolis, MN - USA
Yearly Salary:
$ 54000 - 64480
Posted on:
28 days ago
Vacancies:
1 Vacancy
Job Summary
Overview
BILLER MUST RESIDE IN MN and work in office 2-3 days per week.
Catholic Elder is seeking a Billing Specialist isresponsible for managing the resident financial accounts for their long-term care facility. These processes include filing insurance claims managing payments and accurately billing for Billing Specialist plays a crucial role inrevenue cycle managementby verifying patient eligibility submitting timely claims researching and addressing denials and resolving billing Billing Specialist reports to the Controller and is a part of the Business Office.
This role offers a unique opportunity to work on a small team and be involved in a broad range of responsibilities in the business office including interacting with residents and families.
Responsibilities
The Billing Specialist will:
- Process and Submit Claims Prepare submit and follow up on claims with insurance companies (Medicare Medicaid private insurance etc.)
- Post and Reconcile Payments Post payments received from insurance companies and residents reconcile accounts and track outstanding balances.
- Verify and Authorize Insurance Verify patient insurance coverage and obtain necessary authorizations for services.
- Manage Denial of Services Investigate and resolve denied or rejected claims including submitting appeals with supporting documentation.
- Collect outstanding accounts and bill private carriers Generate and send resident statements manage payment arrangements and follow up on outstanding balances.
- Bill for services through the Elderly Waiver system.
- Maintain accurate records of billing information resident data and financial transactions.
- Manage entire billing process from claim submission to payment posting to ensure timely and accurate revenue collections.
Qualifications
REQUIRED QUALIFICATIONS:
- Associates degree or higher in Accounting or relevant certification.
- Minimum three years of full cycle healthcare billing experience.
- A combination of education and experience to exceed 4 years may be substituted for a degree.
- Detailed knowledge of Medicare Medicaid and third-party reimbursement policies.
- Intermediate to Advanced skills in billing software electronic health record (EHR) systems Microsoft Office applications and other relevant tools.
PREFERRED QUALIFICATIONS
- Skilled Nursing billing experience.
- MatrixCare or other EHR proficiency.
SKILLS AND ABILITIES
- Ability to manage multiple tasks/projects prioritize effectively and meet deadlines.
- Attention to detail with high degree of accuracy in data entry coding and claim preparation.
- Critical thinking skills that include ability to identify and resolve billing discrepancies denials and other errors.
- Demonstrated ability to effectively communicate in written electronic online and in-person interactions with varied stakeholders including but not limited to insurance companies residents families and other staff.
- Flexibility to adjust workload based on the needs of a collaborative team.
WORK ENVIRONMENT
The noise level in the work environment is usually quiet.
The employee works in resident living areas subject to frequent interruptions.
Exposure to Infectious Diseases is mitigated by the proper use of PPE.
The employee will interact with coworkers and residents from varying socioeconomic ethnic cultural and educational backgrounds.
Compensation: $54000-$64480 per year non-exempt depending on qualifications. 40 hours per week Monday-Friday during business hours. May require additional hours during month-end or other peak times. In-person or hybrid work possible (2 days remote 3 days on-site after training). Hybrid employees must reside in MN.
Benefit eligible with healthcare dental vision short-term disability and optional coverages. Employer-paid basic life and Long-Term disability.
Catholic Eldercare is an equal opportunity employer. All applicants will be considered for employment without regard to race color religion sex sexual orientation gender identity national origin veteran or disability status.
Required Experience:
IC
Key Skills
- Medical Collection
- Accounts Receivable
- Athenahealth
- ICD-10
- Medical Coding
- 10 Key Calculator
- Detailing
- ICD-9
- Medical Billing
- Microsoft Excel
- CPT Coding
- Medicare
About Company
Catholic Eldercare, a senior community of 5 residential nursing facilities in NE Minneapolis, offers assisted living, skilled nursing, memory care & more.
