A/R Billing Specialist

Bayley Senior Care•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 assists with implementing business office policies and procedures, particularly those related to admissions, discharges, billing, and collections, and maintains effective working relationships with interdepartmental personnel. The specialist also provides information about facility policies and procedures to residents, family members, and visitors as directed by administration. The position maintains resident census, payer details, and current resident records in business office files and computer systems while protecting the confidentiality of resident information. Duties include entering monthly ancillary charges, verifying bills, responding to billing inquiries, reconciling accounts, initiating adjustments, updating insurance information, obtaining managed-care pre-authorizations, posting payments, balancing cash and residents’ personal funds, and completing month-end closing and reconciliation. The specialist works with the caseworker assigned by the Ohio Department of Human Services to obtain outside assistance for residents and serves as a liaison between that agency and Bayley on Medicaid-approved and pending cases. The role keeps the agency informed of account adjustments and prepares and processes required Medicaid forms in accordance with regulations. Additional duties include preparing information for data entry, updating files, typing miscellaneous office materials, preparing statistical reports, maintaining backup records, administering the Benevolent Care endowment fund, and answering residents’ and family members’ questions about statements.

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, including claims submission and follow-up.
Advanced Microsoft Word and spreadsheet skills.
Experience with Point Click Care.

Responsibilities

Administer accounts receivable, monthly resident billing, and other business office functions in accordance with applicable accounting principles and Bayley policies and procedures.
Assist in implementing business office policies and procedures related to admissions, discharges, billing, and collections.
Maintain rapport with interdepartmental personnel and provide facility policy and procedure information to residents, family members, and visitors as directed.
Maintain the daily resident census, payer information, and current resident records in business office files and on the computer while maintaining confidentiality.
Input monthly ancillary charges and verify the accuracy of processed bills.
Answer billing inquiries, reconcile accounts, and initiate adjustments as necessary.
Verify and update insurance information and contact managed-care insurers for pre-authorizations and updates.
Post payments to resident accounts, balance cash, complete month-end closing and reconciliation, and balance residents’ personal funds.
Work with the Ohio Department of Human Services caseworker to obtain outside assistance for residents and act as Bayley’s liaison on Medicaid-approved and pending cases.
Inform the Ohio Department of Human Services of necessary account adjustments and prepare and process required Medicaid forms in accordance with regulations.
Prepare information for data input, update files, type miscellaneous office materials, prepare statistical reports, and maintain backup records.
Administer the Benevolent Care endowment fund.
Answer residents’ and family members’ questions about statements.