Long-term Care Billing Specialist

Mile Bluff Medical Center•Mauston, WI

8d•Onsite

About The Position

The LTC Billing Specialist is responsible for accurate billing, ensure accuracy of payments posted to patient accounts, account reconciliation, and follow-up for resident accounts. This role ensures compliance with Medicare, Medicaid, private insurance, and private-pay requirements while maintaining professional communication with residents and their families regarding account balances due and billing inquiries.

Requirements

High school diploma or equivalent required.
2+ years of related work experience preferred.
Experience with insurance billing preferred.
Exceptional accuracy and attention to detail required.
Intermediate proficiency with computers is required.
Must have exceptional customer service skills.
Must be able to manage multiple tasks and priorities.
Self-starter with excellent interpersonal communication and problem-solving skills.

Nice To Haves

Associate's degree or equivalent business experience preferred.

Responsibilities

Monitor and collect financial billing information for submitting claims and submitting financial statements for private pay residents.
Communicate with residents and their families regarding account balances due and billing inquiries.
Monitor claim status, identify denials, and complete timely corrections and resubmissions.
Reconcile resident accounts and investigate discrepancies.
Monitor aging reports and follow up on outstanding balances.
Update financial spreadsheets to monitor correct pay source and cost reports.
Ensure accuracy of payments posted to residents' accounts in hospital billing system.
Work closely with admissions, nursing, social services, and business office staff to ensure billing accuracy.
Ensure compliance with Medicare, Medicaid, private insurance, and private-pay requirements.
Maintain detailed, confidential records of billing activity and family communications.
Assist with audits and provide requested documentation.
Perform other duties as requested.