Billing Specialist

Pomeroy Living•Sterling-Heights, MI

About The Position

At Pomeroy Living, we are dedicated to providing high-quality care and services to our residents, and we are seeking a talented Skilled Nursing Facility Billing Specialist to join our team! As a Skilled Nursing Facility Billing Specialist, you will play a vital role in ensuring the smooth operation of our billing and revenue management processes. You will be responsible for accurately processing Medicaid, Medicare and Managed Care claims, managing billing discrepancies, and maintaining a high level of customer satisfaction. Your strong analytical and problem-solving skills will be essential in resolving billing issues and optimizing our reimbursement rates.

Requirements

  • 2+ years of experience in Skilled nursing facility billing and revenue management, with a focus on Medicaid, Medicare and HMO claims
  • Strong analytical and problem-solving skills
  • Excellent communication and customer service skills
  • Ability to work in a fast-paced environment and meet deadlines
  • Proficiency in electronic medical records (EMRs) and billing software

Responsibilities

  • Process and submit Medicaid, Medicare and HMO claims in a timely and accurate manner
  • Manage and resolve billing discrepancies and errors
  • Maintain accurate and up-to-date resident records and billing information
  • Collaborate with other departments to resolve billing issues and improve revenue cycle processes
  • Stay up to date with changing Medicaid, Medicare and HMO regulations and guidelines
  • Participate in continuous quality improvement initiatives to optimize billing and revenue management processes

Benefits

  • Competitive salary and a comprehensive benefits package
  • Paid Time Off – start accruing from day one of orientation!
  • Paid Holidays
  • Access up to 50% of your earned pay DAILY!
  • Flexible scheduling
  • Company-paid Life insurance for all full-time staff
  • Excellent health coverage with Priority Health Medical, Delta Dental, and Vision Insurance
  • 401(k) retirement plan
  • Clear and accelerated Career advancement opportunities
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