Nursing Home Billing Specialist

• Timely insurance verification of all referrals for potential admission to the facility.
• Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations (MCO's) and private insurance.
• Preparing and submitting claims, resolving billing issues, managing accounts receivable, and working with families and third-party payers to ensure proper reimbursement.
• Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic systems daily.
• Preparing and submitting timely billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid claims.
• Communicating with families, residents and insurance companies regarding account status and unpaid claims.
• Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices.
• Working with other departments to ensure accurate census date and payer sources are maintained.
• Assisting with audits and providing requested documentation for compliance and financial reviews.
• Maintain accurate and confidential billing records in accordance with HIPAA regulations.

• High School Diploma or GED required. Associate's Degree in Accounting, Business or related field experience preferred.
• 2+ years of billing experience in a skilled nursing facility (SNF) or healthcare setting
• Strong knowledge of Medicare Part A/B, MCO's, NYS Medicaid and commercial billing.
• Experience with billing software - Point Click Care
• Proficient in Excel and data entry
• Excellent communication and organizational skills
• Ability to manage multiple tasks and meet deadlines
• Knowledge of HIPAA regulations and healthcare confidentiality standards.

• Previous Nursing Home Billing experience.
• Knowledge of claims and experience resolving billing issues.
• Experience with SNF benefits specific to rehabilitation.
• Knowledge of NYS Medicaid application process.

• Excellent starting pay rate with competitive and generous benefits
• Generous paid time off with cash-in options
• Cost-shared health, dental, and optical insurance with a significant employer paid share
• Opportunity for career pathways
• Retirement plan with employer match
• Free meal daily
• Fully paid group life insurance
• Employee Assistance Plan including individual counseling and referral to community services
• Tuition assistance and scholarships!

Teresian House