A/R Billing Specialist

Under the direction of the A/R Supervisor, the A/R Billing Specialist administers accounts receivable, monthly resident billing and other business office functions for Bayley in accordance with generally acceptable accounting principles and consistent with the Bayley philosophy, policies and procedures.

1. Assist in implementing business office policies and procedures particularly as they relate to admissions, discharges, billing and collection.
2. Develop and maintain a good rapport with inter-department personnel, to assure that business services and activities can be properly maintained to meet the needs of the facility.
3. Provide information regarding the facility’s policies and procedures to residents, family members, visitors, etc., as directed by administration.
4. Maintain daily resident census and payer information.
5. Maintain current information on residents both in the business office files and on the computer.  
6. Maintain confidentiality of all resident information.
7. Input of monthly ancillary charges for billing. 
8. Verify accuracy of processed bills, answer billing inquires, reconcile and initiate adjustments as necessary.
9. Verify and update insurance information as needed. 
10. Contact managed care insurance company for pre-authorizations and send updates as needed. 
11. Post payments to resident accounts and balance cash. 
12. Month end closing and reconciliation. 
13. Balance residents’ personal funds.  
14. Work with the caseworker assigned by the Ohio Department of Human Services to obtain outside assistance for residents of the facility. Act as a liaison between the Ohio Department of Human Services and Bayley in all matters related to Medicaid approved and pending cases.
15. Keep the Ohio Department of Human Services informed of any necessary adjustment on residents’ accounts. Prepare and process all required Medicaid-related forms in conformity with regulations.
16. Prepare information for proper input, update files, type miscellaneous office material, prepare statistical reports, and maintain backup records.
17. Administer the Benevolent Care endowment fund
18. Answer questions regarding statements from residents and family members.

Educational Attainment • High School Graduate • Associates Degree 

Licensure/Certification  

Specialized Knowledge/Skills • Two years of billing and accounting or business skills

• Computers and data processing skills, excellent verbal written and communication skills. 
• Two years experience with billing systems
• Two years of Medicare/Medicaid and Third party insurance billing experience for LT care institutions • Three years of billing experience in a LTC setting with claims submission and follow up experience. 
• Advance Microsoft word and spreadsheet skills.
• Experience with Point Click Care. 
• Three years of billing experience in a LTC setting with claims submission and follow up experience. 
• Advance Microsoft word and spreadsheet skills.
• •Experience with Point Click Care.