Accounts Receivable Billing Specialist

Aviva Senior Living•Sarasota, FL

22h•$60,000 - $70,000•Onsite

About The Position

The primary purpose of the A/R Billing Specialist is to maintain and be responsible for day-to-day billing and accounts receivable functions of the facility in accordance with current acceptable accounting and cost reimbursement principles relating to the long-term care operation. The incumbent will be responsible for managing all billing, collections, A/R reconciliation, accounting for all receivables monthly. This position is also responsible for direct contact with our residents for all billing inquiries, including collection phone calls. Essential Functions include, but are not limited to: Balance daily census to nurses’ census, post daily cash deposits, audit resident accounts and adjust when necessary. Complete initial and re-authorization verifications as needed, including all pertinent documentation necessary for approval. Maintain working knowledge of Private Payers, Medicaid, Medicare and Managed Medicaid/Medicare billing, coinsurance billing, appeals, authorizations, etc. Responsible for meeting Accounts Receivable aging goals on 60+ balances. Be knowledgeable of each account’s status and act on any items that have not been paid. Ensure timely follow-up to insurance companies or guarantors on billing submitted, allowing for effective and efficient cash flow of receivables. Perform month end closing procedures: post charges/ancillaries, bill Medicare/Medicaid and Managed Care claims, process month-end closing reports and close in 5 business days for Assisted Living and Independent Living, Benderson within 10 business days. Deliver excellent customer service, in writing and verbally to residents. A high level of accuracy and quality control is required, including error-free resident statements. Develops and maintain positive resident and clinical relationships. Maintain patient privacy and follow all HIPAA laws and facility policy.

Requirements

High school diploma or equivalent
Minimum 2 years’ experience in medical billing required
Ability to effectively communicate and be a team player with other departments in the facilities, ie: Social Services, Admissions, Marketing, MDS Coordinator and Administrator
Knowledge of billing Medicare, HMO, Medicaid and private payer sources for skilled nursing level of care
Detail-oriented with an organized mindset
Ability to manage and train accounting staff for backup
Familiarity with accounting-based software programs
Must possess advanced computer skills including working proficiency in Microsoft Office Suite, especially Word, Excel, and Outlook
Ability to create and edit Excel spreadsheets
Accounting and cost reimbursement experience preferred

Nice To Haves

Additional college coursework preferred
Experience in a Continuum of Care Senior Community preferred (Includes Independent living, Assisted living and Skilled Nursing Care)
Previous experience with Point Click Care desired

Responsibilities

Balance daily census to nurses’ census
Post daily cash deposits
Audit resident accounts and adjust when necessary
Complete initial and re-authorization verifications as needed, including all pertinent documentation necessary for approval
Maintain working knowledge of Private Payers, Medicaid, Medicare and Managed Medicaid/Medicare billing, coinsurance billing, appeals, authorizations, etc.
Responsible for meeting Accounts Receivable aging goals on 60+ balances
Be knowledgeable of each account’s status and act on any items that have not been paid
Ensure timely follow-up to insurance companies or guarantors on billing submitted, allowing for effective and efficient cash flow of receivables
Perform month end closing procedures: post charges/ancillaries, bill Medicare/Medicaid and Managed Care claims, process month-end closing reports and close in 5 business days for Assisted Living and Independent Living, Benderson within 10 business days
Deliver excellent customer service, in writing and verbally to residents
Develops and maintain positive resident and clinical relationships
Maintain patient privacy and follow all HIPAA laws and facility policy