Billing Specialist - Medical Biller

BrightSpring Health Services•Louisville, KY

About The Position

The Billing Specialist supports Abode Care Partners’ revenue cycle, primarily managing accounts receivable for Medicare Part B, Medicaid, and other third-party insurance payers. The role monitors aging reports, follows up on unpaid or underpaid claims, resolves denials and rejections, and submits appeals and corrected claims. It also supports claim submission and ensures documentation, billing data, payments, and financial records are processed in accordance with company policies, payer requirements, and applicable State and Federal regulations. The position works with the Revenue Cycle Team on Business & Billing Office functions and may assist with operational monitoring, end-of-month close procedures, reporting, and other administrative tasks. As needed, the Billing Specialist may fill in for the Revenue Cycle Manager with authority determined by the COO/CFO. Abode Care Partners, an affiliate of BrightSpring Health Services, provides integrated medical services to people in settings including skilled nursing facilities, assisted living, independent living, group homes, and private homes. Its care serves older adults, people with complex conditions or special needs, and individuals with intellectual and/or developmental disabilities.

Requirements

High school diploma and equivalent related work experience required.
Effective verbal and written English communication skills.
Intermediate to advanced skills in Microsoft Word, Excel, PowerPoint, Outlook, and Internet and Intranet navigation.
Maintain a high level of professionalism and confidentiality.
Ability to communicate at all levels of the organization and work well within a team in support of company objectives.
Customer-service orientation and ability to work well under pressure.
Strong attention to detail and accuracy, excellent organizational skills, and ability to prioritize, coordinate, and manage multiple projects while maintaining quality and productivity.
Strong analytical and problem-solving skills.
Ability to work with minimal supervision, take initiative, and make independent decisions.
Ability to handle new tasks without written procedures.
Approachable, flexible, and adaptable to change.

Nice To Haves

At least one year of billing and/or coding experience is preferred.

Responsibilities

Complete monthly Medicaid, Medicare Part B, and other insurance billings, and follow up promptly with intermediaries and commercial insurance carriers about delinquent payments.
Obtain and submit required documentation for third-party payer billing according to program and company guidelines.
Enter ancillary and charge data into the billing system and/or Excel spreadsheets accurately and on time.
Work with or support the Revenue Cycle Team in planning Business & Billing Office functions, including coordination with other disciplines and departments.
May assist the Revenue Cycle Team in monitoring day-to-day Business & Billing Office operations and establishing priorities, managing records, budgets, or supplies.
Fill in for the Revenue Cycle Manager as needed, with limited or full authority as assigned by the COO/CFO.
Support the Revenue Cycle Team in meeting State, Federal, and company standards; alert management to potential non-compliance issues and assist with preparing correction plans.
Assist with month-end close procedures, including charge input and cash receipts reconciliation.
Maintain accuracy and efficiency in all work performed.
Prepare disbursement checks for expenditures approved by the COO/CFO.
Assist with filing and storage processes or systems as needed.
Assist with company information tracking and reporting as needed.
Complete other special projects and duties as assigned.