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)

All Richter employees agree to be bound by applicable company policies, including confidentiality, security, appropriate standards of conduct, etc., which are customary and standard across most companies for compliance and the assurance of a safe and productive work environment. This offer is contingent upon the successful completion of a background check and drug screening. Further details will be provided to you soon.