Corporate - Senior Third Party Billing Specialist (Remote)

Transforming Age•Saratoga, WA

7d•Remote

About The Position

Transforming Age is seeking a Senior Third Party Billing Specialist to join their team. This remote role is crucial for the organization's financial success, focusing on full-cycle billing and collection procedures for skilled nursing facilities. The specialist will also be responsible for generating accurate reports to support billing and payment processes. The role requires a strong understanding of the healthcare industry, particularly Medi-Cal billing, and involves collaboration with facility staff and management to ensure accuracy and efficiency in financial operations.

Requirements

Associates degree in a related field, or equivalent combination of education/experience.
Strong knowledge of the healthcare industry required.
Must have Medi-Cal (California specific) billing experience.
Ability to occasionally travel to our sites in Saratoga and Napa, CA on occasion.
Current valid driver's license required (for occasional travel to communities in Saratoga/Napa).
Must have Medicare, HMO, and other insurance billing experience.
At least 10 years of experience working with Medicaid, Medicare, Insurance claims or in a claims processing environment.
Demonstrated effective written and oral communication and presentation skills and the ability to communicate complex financial information to diverse audiences.
Ability to troubleshoot and critically think through processes and issues.
Working knowledge of Microsoft Office Suite including Excel and billing software.

Nice To Haves

Workday experience strongly preferred.

Responsibilities

Responsible for the full cycle of Accounts Receivable, including private and governmental contracts (Federal, State, and local) for skilled nursing facilities.
Manage all 3rd party payors including Medicare, HMOs, coinsurance, private pay, etc.
Ensure all billing is completed/submitted accurately, timely, and in accordance with set policies and procedures.
Assist with private pay billing at other levels of care as needed.
Ensure all ancillary charges are entered and accurate on bills before submission.
Participate in Accounts Receivable aging reviews with facility staff and Accounts Receivable Manager.
Assist facilities in collection procedures on private and insurance balances.
Assist in analysis on legacy clients to identify collectability of accounts receivable.
Proceed with collection procedures in collaboration with Accounts Receivable Manager and facility team.
Reconcile Accounts Receivable with general ledger and post all cash receipts received to appropriate accounts.
Coordinate with Accounts Receivable Manager and facility staff/management to ensure accuracy of records for conversion to billing numbers.
Perform reconciliation of billing and collections, identify unbilled or rejected services, and rebill accurately.
Assist facilities with various government audits including Medicare RAC audits and appeals.
Establish a compassionate and respectful environment by practicing good communication skills.
Maintain a cooperative and respectful relationship with co-workers, clients, and others.
Assure quality of care by adhering to organizational values, standards, and legal requirements.
Maintain the credibility and reputation of the organization by complying with regulatory standards and legal requirements.
Enhance professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing professional networks, and participating in professional societies.
Support the Mission, Vision, and Values of Transforming Age.
Perform other duties as assigned.