SNF/LTC - Medicare Billing Specialist

Job Summary:

The role's primary responsibility is to be a part of the Revenue Cycle process team. The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timely billing of the collection process of client revenue.

Job Responsibilities: • Completes billing and collection efforts • Performs patient account analysis • Completes basic Electronic Medical Records functions • Generates and submits clean claims for all pay sources timely and accurately • Documents billing and collection activities in accordance with Richter Healthcare Consultants policy and procedure • Works effectively within the client and/or Richter Healthcare Consultants billing systems • Effectively communicates and responds to inquiries by client staff, co-workers, and other party representatives • Analyzes and problem-solves when faced with obstacles • Effectively prioritizes and manages time to accomplish project goals and expectations • Communicates status' of projects to team leader/manager on a daily or weekly basis depending on project requirements • Prioritizes accounts by age and amounts • Analyzes each account to verify the accuracy of the balance • Resubmits and/or follow-up on outstanding accounts • Performs all denial management and collections procedures to obtain payment • Documents all activities on client AR thoroughly in billing software • Reports project status to client weekly via reports, documentation in software or AR calls as directed • Reviews all claims prior (triple check process) to submission to ensure compliance • Reviews outstanding Accounts Receivables and creates an action plan to receive payment • Responds to client's questions within 24 hrs. • Identifies and escalates potential at-risk accounts the following to direct supervision • Performs other duties as assigned

Qualifications: • High School Diploma or equivalent, College Degree preferred but not required • Proficiency in Microsoft Office Suite • Experience with Electronic Medical Records Software, Clearinghouse, e-solutions, preferred but not required • Point Click Care and Waystar experience required • Ability to communicate professionally • Must possess critical thinking skills and the ability to work independently • Must possess extensive knowledge of third party payer types, as well as laws, regulations, and guidelines that pertain to healthcare providers • Minimum two years of claims processing experience preferably with Skilled Nursing or Long Term Care billing

Experience: • PCC: 1 year (Preferred) • LTC/SNF: 1 year (Preferred) • Medicare: 1 year (Preferred) • Medicare billing with LTC: 1 year (Preferred)