Medical Billing Specialist | Retirement Community

Wesley Des Moines • Des Moines, WA

1d • $30 - $43

About The Position

As a service organization, Wesley selects employees who bring our mission to promise. When you become a member of the Wesley team, you contribute to the active lifestyle, high quality of care and other services we provide older adults at our award-winning communities or other residence. Our workforce is as diverse as our services, which include independent living, assisted living, Catered Living, memory care, skilled nursing, rehabilitation, hospice, home care and home health. Our Total Rewards philosophy is a balanced approach that meets the needs of employees on their career journey whether they are just joining the workforce or nearing retirement. We evaluate our Total Rewards offerings annually to provide benefits employees would find meaningful. In addition to competitive wages and a commitment to pay equity, we offer the following benefits and other compensation: Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff). We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year. We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff). Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match. A food and beverage discount of 50% is available to all employees at any Wesley bistro. Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit. To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid. Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary. Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee. This summary is intended to reflect the most reasonable and genuinely expected offering of benefits and other compensation for the posted job. The official website for all Wesley job postings is https://wesleychoice.org/careers/. Wesley is not responsible for content on third-party job boards. Salary ranges, benefits and other compensation are subject to change. Enrich the lives of older adults through community, choice, and continuing care in the Billing Specialist II role. We are seeking a detail-oriented and experienced Billing Specialist to manage and oversee the billing processes for a key segment of our retirement community. This role is pivotal in ensuring accurate and timely billing for a range of services, including independent living and assisted living memory care. The ideal candidate will have a strong background in healthcare billing, particularly within senior living or long-term care settings, and a thorough understanding of Medicare, Medicaid, and private insurance billing procedures. Find your sense of belonging at Wesley! You will provide continuing care through these responsibilities

Requirements

• Associate's degree in Accounting, Finance, Healthcare Administration, a related field or equivalent work experience; Bachelor's degree preferred.
• Minimum of 2 years of experience in healthcare billing, with a focus on senior living or long-term care facilities.
• Proficiency in billing software systems (e.g., Point Click Care), electronic medical records (EMR), and Microsoft Office Suite.
• Ability to identify PHI and HIPAA and safeguard transmission of such information via secure file transfer system.
• Strong understanding of Medicare, Medicaid, and private insurance billing procedures, as well as state-specific regulations in Washington.
• Excellent verbal and written communication skills, with the ability to interact effectively with residents, families, and team members.
• High level of accuracy and attention to detail, with the ability to manage multiple tasks and meet deadlines.
• Reliable transportation for occasional, same-day travel between work locations

Nice To Haves

• Bachelor's degree preferred.
• Certification in medical billing or coding preferred (e.g., Certified Professional Biller - CPB).
• Experience with Medicaid billing specific to Washington State.
• Familiarity with the financial operations of a retirement community.

Responsibilities

• Prepare, review, and submit accuratebilling statements for residents across different levels of care, ensuringcompliance with federal and state regulations.
• Handle the submission and follow-up ofclaims to Medicare, Medicaid, Managed Care Organizations (MCOs), andprivate insurers, addressing denials and discrepancies promptly.
• Monitor and manage accounts receivable,ensuring timely collection of outstanding balances and maintainingaccurate records.
• Maintain up-to-date resident billinginformation, including charges for services, payments, adjustments, andrefunds.
• Ensure adherence to HIPAA and otherregulatory requirements, and assist in the preparation of financialreports and audits as needed.
• Workclosely with the finance team, nursing staff, and administrative personnelto coordinate billing activities and resolve any issues related toresident accounts.
• Perform other duties as assigned.

Benefits

• Employees, and their families if elected, can participate in medical and vision insurance (full time and ACA eligible), dental (full time) and group life (employee only for full time, excludes part-time and on-call staff)
• We offer a combined paid time off (PTO) policy which incorporates state paid sick leave with company paid time off at an accrual rate of 0.0607 per hour worked, equivalent to 120 hours of PTO at 2,080 hours worked in a year.
• We also offer 6 Paid Holidays (8 hours for full time and 6 hours for part time per event, excludes on-call staff) and 1 Personal Holiday of Choice per year (excludes on-call staff).
• Retirement planning is encouraged through our 403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes. There is a 5-year vesting schedule on the company match, and minors are ineligible for the company match.
• A food and beverage discount of 50% is available to all employees at any Wesley bistro.
• Employees are also eligible for On-Demand Pay with Dayforce Wallet. Minors need parental consent to access this benefit.
• To assist employees with challenges outside of the workplace, Wesley offers an Employee Assistance Program (EAP), which is 100% company paid.
• Additionally, Wesley Community Foundation provides grants to qualifying employees as detailed in the plan summary.
• Lastly, the efforts and contributions of our valued employees are celebrated in our best-in-class recognition and reward platform, Inspire. Points earned for various reasons may be redeemed for a variety of merchandise, gift cards, tickets, travel and other experiences selected by the employee.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree