Private Pay Billing Specialist

Richter•Twinsburg, OH

7d•Onsite

About The Position

This role is responsible for managing private pay billing and collections. The specialist will perform collection efforts on outstanding balances, identify and resolve billing issues, generate billing statements, and respond to resident inquiries. The position requires adherence to company policies and procedures, documentation of collection activities, and analysis of resident accounts. The specialist will also escalate issues to management and participate in team meetings and calls.

Requirements

High School Diploma required
Minimum two years of billing and collections experience
Knowledgeable of Medicare and Medicaid requirements, procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers
Ability to tactfully approach team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
Proficient organizational and follow up skills
Strong critical thinking skills
Must be able to remain in a stationary position for long periods of time, including neck rotation and sitting for long periods of time.
Constantly operates a computer and other office productivity machinery.
The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
All Richter employees agree to be bound by applicable company policies, including confidentiality, security, appropriate standards of conduct, etc., which are customary and standard across most companies for compliance and the assurance of a safe and productive work environment.
Offer is contingent upon the successful completion of a background check and drug screening.

Nice To Haves

College degree preferred
Post-acute care experience preferred
Point Click Care experience preferred
Experience working within CRM and EHR software preferred but not required

Responsibilities

Performs collection efforts on all outstanding balances designated as a private pay balance in the clients' accounts receivable system.
Identifies issues related to census correction, cash application postings, and adjustment activity.
Reviews and creates refund and write off adjustment batches.
Generates and creates billing statements per established timeline identified by the client.
Responds to resident billing inquiries including but not limited to phone calls, email interaction, and mailed requests.
Follows all established Richter Policy and Procedures.
Documents in clients billing system collection activity and efforts for resolution.
Reviews delinquent accounts and generates collection letters or manual statements.
Performs resident account analysis for validation of accurate balance.
Escalates issues preventing collections of balances due to client representative and management staff.
Participates in Private Pay AR calls as deemed necessary by management staff.
Participates in daily team huddles and individual touchpoints with management staff as designated.
Performs other duties as assigned.