Billing and Collection Specialist

The Moorings Park Institute Incorporated•Naples, FL

About The Position

Moorings Park is looking for a Billing & Collection Specialist. The Billing and Collection Specialist is responsible for managing the full cycle of resident and patient billing, collections, and account reconciliation processes. This role ensures accurate and timely billing, supports strong cash flow through proactive collections efforts, and provides exceptional customer service to residents, patients, and responsible parties. The position also supports compliance with healthcare billing regulations and internal financial controls.

Requirements

Excellent oral and written communication skills in the English language required
During emergencies or natural disasters may be required to be on duty for the duration of the disaster.
Associate Degree in Accounting, Business Administration, Healthcare Administration or a related field preferred; equivalent experience will be considered.
Minimum of two (2) years of healthcare, senior living, or medical billing experience required.
Strong understanding of medical insurance and patient financial responsibility, including Medicare, Medicare Advantage, and commercial plans.
Experience explaining billing statements, charges, and account balances to residents, patients, or responsible parties required.
Must be comfortable discussing sensitive financial matters with residents, families, and responsible parties demonstrating empathy, professionalism, and clarity.

Nice To Haves

Experience with Long-Term Care (LTC) insurance processes is strongly preferred.

Responsibilities

Prepare and monitor all monthly billing and collection processes following established policies and procedures.
Ensure timely receipt of payments by proactively communicating with residents, patients, and responsible parties regarding outstanding balances.
Clearly explain billing statements, charges, and account balances, including how insurance impacts patient responsibility.
Address billing inquiries and resolve disputes professionally and efficiently.
Perform follow-up on outstanding accounts and assist with collection efforts in accordance with company policies.
Act as backup for cash posting for all private pay balances.
Monitor aging reports and escalate delinquent accounts in accordance with policy.
Understand and apply Moorings Park residency agreements, fee structures, and billing policies.
Accurately enter resident/patient demographic and insurance information into the Electronic Medical Record System (EMR).
Ensure all contracts, agreements, admission documents, and related notices are accurately completed and stored in the Electronic Document Storage system and EMR as applicable.
Process all census moves accurately and in a timely manner in the EMR and update the census spreadsheet as needed.
Apply all monthly charges and payments accurately, reviewing transactions before preparing statements and claims.
Submit statements in compliance with policies, procedures, and regulatory requirements.
Complete assigned month-end procedures and reconciliations, ensuring accuracy and timely close.
Ensure adherence to internal controls related to billing, payment application, adjustments, and account reconciliation.
Assist in preparing reports for audits and regulatory surveys as needed.
Reconcile the Patient Fund Trust and Advance Deposit Fund according to company policies and applicable state laws and regulations.
Assist in preparing and distributing annual notices to residents per established procedures.
Manage and process monthly Long-Term Care (LTC) insurance paperwork, ensuring accuracy and timely completion.
Enter confidential financial data applications from potential residents and patients into financial qualification software while maintaining strict confidentiality.