Medical Billing Specialist | Retirement Community

Wesley Des Moines•Des Moines, WA

24d

About The Position

Wesley is seeking a detail-oriented and experienced Billing Specialist to manage and oversee billing for a segment of its retirement community. The role supports accurate and timely billing for services including independent living and assisted living memory care. The position focuses on healthcare billing, including Medicare, Medicaid, and private insurance procedures, and requires attention to regulatory compliance and resident account accuracy. The role may involve occasional same-day travel between work locations.

Requirements

Associate's degree in Accounting, Finance, Healthcare Administration, or a related field, or equivalent work experience.
At least 2 years of experience in healthcare billing, with a focus on senior living or long-term care facilities.
Proficiency with billing software systems, electronic medical records, and Microsoft Office Suite.
Ability to identify protected health information and HIPAA-related information and safeguard its transmission through a secure file transfer system.
Strong understanding of Medicare, Medicaid, and private insurance billing procedures, as well as Washington state-specific regulations.
Excellent verbal and written communication skills, including the ability to interact effectively with residents, families, and team members.
High level of accuracy and attention to detail, with the ability to manage multiple tasks and meet deadlines.
Ability to give full attention to others, understand points being made, and ask questions as appropriate.
Near and far vision acuity.
Ability to perform repetitive motion such as working on a computer terminal.
Ability to sit, stand, bend, and twist for prolonged periods or intermittently throughout a shift.
Ability to lift up to 25 pounds.
Reliable transportation for occasional same-day travel between work locations.

Nice To Haves

Bachelor's degree preferred.
Certification in medical billing or coding preferred, such as Certified Professional Biller (CPB).
Experience with Medicaid billing specific to Washington State.
Familiarity with the financial operations of a retirement community.
Experience with Point Click Care.

Responsibilities

Prepare, review, and submit accurate billing statements for residents across different levels of care, ensuring compliance with federal and state regulations.
Submit and follow up on claims to Medicare, Medicaid, Managed Care Organizations, and private insurers; address denials and discrepancies promptly.
Monitor and manage accounts receivable, support timely collection of outstanding balances, and maintain accurate records.
Maintain resident billing information, including service charges, payments, adjustments, and refunds.
Ensure adherence to HIPAA and other regulatory requirements, and assist with financial reports and audits as needed.
Coordinate billing activities with finance, nursing, and administrative staff and resolve resident account issues.
Perform other duties as assigned.

Benefits

Medical insurance for full-time and ACA-eligible employees and eligible family members.
Dental insurance for full-time employees.
Vision insurance for full-time employees.
Group life insurance for full-time employees, with employee-only coverage.
Combined paid time off, including state paid sick leave and company paid time off; accrual increases after two and five years of service.
Six paid holidays and one personal holiday of choice per year, subject to stated eligibility exclusions.
403(b) retirement plan with a 100% company match on the first 4% of earnings contributed, subject to a five-year vesting schedule and eligibility rules.
On-demand pay through Dayforce Wallet.
Employee Assistance Program, paid in full by Wesley.
Grants for qualifying employees for emergency assistance and educational advancement.
50% food and beverage discount at Wesley bistros and marketplaces.
Recognition and rewards platform with points redeemable for merchandise, gift cards, cash cards, tickets, travel, and other experiences.