Overview The Corporate Billing Specialist accurately bills payers to assure timely payments of services provided, follows up on unpaid claims and audits accounts as necessary to resolve balances. Additionally, the Corporate Cash Posting Specialist will provide assistance to the Corporate Billing Manager or Billing Team Lead as requested. Qualifications Education or experience with accounting functions, including accounts payable, billing, accounts receivable, collections, and bank reconciliations. A degree is preferred but not required with significant relevant experience. Specialized training in Medicare and Insurance billing preferred At least two years long term care billing experience Working knowledge of third-party insurers Working knowledge of the department of Health and Human Services Understands and has worked with Availity and similar Insurance portals Strong organizational skills, including managing the outcomes of others, and the ability to effectively multitask. Possesses strong interpersonal skills, including communication with supervisors, other staff and managers in the facility, vendors, and effective communication with residents and family members. Ability to effectively manage outcomes of this position as well as the outcomes of others in an environment of accountability. Effective user of technology, including personal computer and software applications in job functions. Examples include Microsoft Outlook, Email, Word, Excel, Internet, and use of billing and accounting software. Supervisor: Corporate Billing Lead Essential Functions and Responsibilities To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions. Responsibility The Cash Posting Specialist will be responsible for maintaining the following: Responsible for accurately posting all incoming payments for all assigned facilities. Responsible for moving all coinsurance charges to appropriate payer in a timely manner. Follows up daily on outstanding receivables and responds to requests for information and denials in a timely manner. Addresses and is able to explain Explanations of Benefits, co-pays and deductibles. Completes month end processes timely. Report facility level barriers to Billing Team Lead. Effectively manages time to meet deadlines. Responsibility for completing external reports for third parties as assigned. Participation in relevant in-service training sessions. Attendance and participation in relevant meetings Willingness to perform other duties as assigned, including various clerical duties as they are necessary. Leadership: demonstrates willingness to take risks, generates new ideas for change; evaluates and recognizes priorities, select effective team members, challenges others to learn, keeps current and integrates new information, communicates and models organization values, fosters high performance, recognizes need for and provides adequate resources. Process Improvement: Applies PI principles, tools, and techniques; assists in data collections; identifies processes for improvement in daily work; educates new staff in team process. Process Improvement: Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; sets clear standards for performance; evaluates job performance and provides effective feedback; establishes systems to measure effectiveness, efficiency, and service; creates and maintains reporting mechanisms. Continuing Education: Attends in-service and education programs; attends continuing education required for maintenance of professional certification or licensure. Physical Demands: The physical demands described here are representative those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is frequently required to stand and walk. The employee is occasionally required to sit for long periods of time completing work on the computer; reach with hands and arms; and talk or hear. Occasional physical effort with light to medium objects. Occasionally required to lift objects of 10 to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and peripheral vision. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.
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Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed