A/R Billing Specialist

Bayley Senior Care Corp•Cincinnati, OH

About The Position

Under the direction of the A/R Supervisor, the A/R Billing Specialist administers accounts receivable, monthly resident billing, and other business office functions for Bayley in accordance with generally accepted accounting principles and Bayley’s philosophy, policies, and procedures. The role supports business office policies and procedures related to admissions, discharges, billing, and collections, and maintains relationships with interdepartmental personnel to ensure business services meet facility needs. The specialist maintains resident census, payer information, resident records, and confidentiality; inputs monthly ancillary charges; verifies bills; responds to billing inquiries; reconciles accounts and initiates adjustments; updates insurance information; and contacts managed-care insurers regarding pre-authorizations and updates. Additional duties include posting payments, balancing cash and residents’ personal funds, completing month-end closing and reconciliation, and responding to residents’ and family members’ questions about statements. The role coordinates with the Ohio Department of Human Services on Medicaid-approved and pending cases, keeps the department informed about account adjustments, and prepares and processes required Medicaid forms. The specialist also prepares information for data entry, updates files, types office materials, prepares statistical reports, maintains backup records, administers the Benevolent Care endowment fund, and provides facility policy and procedure information to residents, families, and visitors as directed by administration.

Requirements

High school graduate; an associate degree is also listed under educational attainment.
Two years of billing and accounting or business skills.
Computer and data processing skills.
Excellent verbal, written, and communication skills.
Two years of experience with billing systems.
Two years of Medicare/Medicaid and third-party insurance billing experience for long-term care institutions.
Three years of billing experience in a long-term care setting with claims submission and follow-up experience.
Advanced Microsoft Word and spreadsheet skills.
Experience with Point Click Care.

Responsibilities

Assist in implementing business office policies and procedures, particularly those related to admissions, discharges, billing, and collections.
Maintain rapport with interdepartmental personnel to support the facility’s business services and activities.
Provide information about facility policies and procedures to residents, family members, and visitors as directed by administration.
Maintain the daily resident census and payer information.
Keep resident information current in business office files and on the computer, while maintaining confidentiality.
Input monthly ancillary charges for billing.
Verify processed bills, answer billing inquiries, reconcile accounts, and initiate adjustments as needed.
Verify and update insurance information.
Contact managed-care insurance companies for pre-authorizations and send updates as needed.
Post payments to resident accounts and balance cash.
Complete month-end closing and reconciliation.
Balance residents’ personal funds.
Coordinate with the Ohio Department of Human Services caseworker to obtain outside assistance for residents and act as a liaison on Medicaid-approved and pending cases.
Inform the Ohio Department of Human Services of necessary resident-account adjustments and prepare and process required Medicaid-related forms in accordance with regulations.
Prepare information for input, update files, type miscellaneous office material, prepare statistical reports, and maintain backup records.
Administer the Benevolent Care endowment fund.
Answer residents’ and family members’ questions regarding statements.