Regional Billing Specialist

PACS

1d

About The Position

The Regional Billing Specialist is responsible for ensuring the accuracy, integrity, and efficiency of accounts receivable processes across the designated region. This role serves as a technical expert and oversight mechanism to maximize collections and minimize aging through proactive claims management and adherence to payer regulations. PACS is elevating healthcare by revolutionizing our approach to leadership and quality care. Guided by our core values of love, excellence, trust, accountability, mutual respect, and fun, we strive to foster a culture of compassionate care within our teams and the communities we serve. As we grow rapidly, exciting opportunities await you to engage in impactful projects and contribute valuable insights to stakeholders nationwide. If you're ready to make a difference and embrace our mission of creating real change, we invite you to join us at PACS. Together, let’s shape the future of healthcare! PACS is revolutionizing the delivery and leadership of post-acute healthcare and support services across the country. Originally founded in 2013, the organization now consists of hundreds of independent operating subsidiaries, as well as ancillary and support services. We bring a proven model of mission-driven care that balances access to a national network of support and resources with local decision making. In addition, PACS helps connect exceptional people with premier healthcare careers across the country. We focus on finding innovative and effective team members based on their qualifications, experience, geographic preferences, and personality fit with the existing facility staff and culture. We celebrate diversity and are committed to creating an inclusive environment for all employees. We welcome applicants of every race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, and any other protected characteristic. Employment decisions are based on qualifications, merit, and business needs.

Requirements

• 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations.
• Working knowledge of payer rules, billing regulations, and claims submission processes.
• Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar).
• Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy.
• Excellent attention to detail, documentation habits, and organizational skills.
• Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams.
• Advanced knowledge of PointClickCare and Waystar (or similar clearinghouses).
• Demonstrate high levels of autonomy, organization, and assertiveness when addressing billing discrepancies.
• Exhibit flexibility and a cooperative spirit in a fast-paced, multi-facility environment.

Responsibilities

• Generate trial claims regularly to identify and resolve billing errors prior to final submission.
• Ensure all prior-month claims are billed immediately following the Triple Check date.
• Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released.
• Review Waystar for rejected claims daily. Ensure all rejections are corrected and resubmitted within one business day.
• Maintain comprehensive working knowledge of payer contracts and rules; ensure all billing aligns strictly with specific contract provisions.
• Review Payer Setup Information reports regularly to identify inaccuracies. Execute corrections or direct Business Office Managers to resolve errors via the collection note process.
• Monitor insurance portals for status updates and denials. Execute immediate corrections or submit formal appeals as appropriate to secure payment.
• Monitor the PointClickCare Upcoming Activity Tab. Review outstanding accounts, initiate new activities, and provide direct feedback/notes to BOMs within the module.
• Ensure detailed, professional notes are added to all accounts worked within PCC to maintain a clear audit trail.
• Post all payer-appropriate cash to PCC daily. Perform regular reconciliations between bank deposits and PCC postings to ensure financial data integrity.
• Analyze accounts receivable aging reports to identify negative trends or systemic issues.
• Keep executive leadership informed by providing concise summaries and actionable insights regarding the region's financial health.

Benefits

• Health Coverage: Enjoy medical, dental, and vision plans to keep you and your family healthy.
• PTO and Vacation: Benefit from generous paid time off and holidays to relax and recharge.
• Financial Wellness: Take advantage of Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) to manage your healthcare expenses effectively.
• Retirement Planning: Secure your future with our 401(k) plan, complete with company contributions to help you build your retirement savings.
• Support When You Need It: Our Employee Assistance Plan (EAP) provides confidential support for personal and professional challenges.

What This Job Offers

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