Corporate Biller

Legacy Health Services • Parma, OH

63d • Onsite

About The Position

We are looking for an experienced Skilled Nursing Facility (SNF) Billing & A/R Specialist to join our Revenue Cycle team. This position will be responsible for accurate and timely billing, account follow-up, and resolution of outstanding accounts receivable for our skilled nursing facilities. The ideal candidate has hands-on experience with SNF billing and A/R follow-up, understands Ohio Medicaid and managed care billing, and is comfortable working independently while communicating closely with facility and billing teams.

Requirements

• 2+ years of healthcare billing and A/R experience preferred
• Skilled Nursing Facility billing experience strongly preferred
• Knowledge of Medicare, Ohio Medicaid, Medicaid Managed Care, and commercial insurance
• Experience working denials and unpaid claims
• Strong understanding of insurance eligibility and coordination of benefits
• Ability to prioritize and manage multiple accounts and deadlines
• Strong written and verbal communication skills
• Ability to work independently and as part of a team
• Proficiency with Microsoft Office, particularly Excel

Nice To Haves

• Proactive, organized, and comfortable digging into an account to find out why it has not been paid.
• Takes ownership of their A/R, communicates issues early, and consistently follows accounts through to resolution.
• Understands that successful billing is more than submitting a claim—it’s about getting the claim paid and bringing the A/R back to the facility.

Responsibilities

• Complete monthly billing for skilled nursing facility residents
• Submit Medicare, Medicaid, Managed Care, commercial insurance, and private-pay claims
• Review claims for accuracy and completeness prior to submission
• Monitor claims and follow up on unpaid or denied claims
• Work outstanding A/R by payer and aging category
• Research and resolve claim denials, rejections, underpayments, and payment issues
• Follow up with insurance companies and Medicaid managed care plans regarding outstanding claims
• Review and resolve eligibility, authorization, coordination of benefits (COB), and other billing issues
• Identify trends and recurring billing issues and communicate them to management
• Maintain detailed and accurate account notes and follow-up documentation
• Work with facility Business Office Managers and other departments to obtain information needed to resolve accounts
• Review payer payments and identify potential underpayments or incorrect reimbursement
• Submit appeals, reconsiderations, and medical record requests as needed
• Maintain assigned A/R within established goals and follow-up timelines
• Assist with other Revenue Cycle projects and duties as assigned

Benefits

• Health, dental, vision, disability & life insurance (subject to plan terms and eligibility requirements)
• Career advancement opportunities
• 401(k) with company match through Fidelity
• Daily Pay: Get up to 50% of your earnings the next day

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed