Billing and Collections Specialist - St. Joseph Living Center

Billing and Collections Specialist | St. Joseph's Living Center

Saint Joseph Living Center is proud to be a non-profit, 120-bed Skilled Nursing Facility located in Windham, CT. We offer short-term rehabilitation, long-term care, and end-of-life care. We are a Catholic faith-based community sponsored by the Diocese of Norwich, but we welcome residents and staff of all faiths. The Center features both indoor and outdoor amenities, including a Chapel with daily mass and a beautiful, enclosed courtyard.

We are currently seeking a Billing and Collections Specialist to join our team!

Position Summary: The Billing and Collections Specialist works directly with residents, families and a number of essential Departments. These Departments include, but are not limited to, Business Office Director, Admissions, MDS, and Social Services. The Billing and Collections Specialist is responsible for the billing and collection of all resident accounts following established Company policies and regulatory compliance as dictated by CMS, the Connecticut Department of Social Services (DSS) and other secondary and third-party payers.

Hours: 40 hours/week 8:00am - 4:00 pm

Benefits:

• Rewarding job within an outstanding non-profit organization
• Health, Dental and Vision Insurance
• Company-funded Life Insurance Policy
• Voluntary STD, LTD, Accident, Critical Illness Insurance
• 403(b) Retirement Savings
• Flexible Spending Account
• Paid time off, vacation and sick time
• Birthday off with pay
• Inclusive company culture
• And more!

Essential Duties:

• Oversee Resident Trust Activity, including getting resident signatures for all activity, M/E Tie-out to bank statement, monthly required letters for Residents on Medicaid or Medicaid pending, and send out Quarterly reports.
• Code Ancillary billing, (including but not limited to: pharmacy, x-ray, lab, physician bills, hospital bills, etc.) checking for billing accuracy, checking that the rates billed to us are correct, and entering Ancillary charges for month end billing verifying that charges are going to proper payer.
• Create payment vouchers, tying out Ancillary billing (including but not limited to: pharmacy, x-ray, lab, physician bills, hospital bills, etc.) Uploading coded Ancillary bills to Bill Pay
• Generate Medicaid billing on the 1st of the month, and mid-month before the due dates.
• Generate month-end billing on or before the 10th of each month for Medicare, Managed Care, and Hospice, coinsurance, Medicare & Managed Care no-pay billing.
• Follow up on open accounts and make calls on slow payers.
• Handle claims appeals for all insurances, including Medicare, Managed Care and coinsurance billing.
• Work directly with families and agencies on CT DSS Medicaid Eligibility Renewals and Information requests to help expedite approval process.
• Attend monthly Triple-Check meeting to ensure billing accuracy for Medicare & Managed Care billing
• Maintain in Excel:
  • Remittance Advice (RA) List to track Medicare claims & No-pay billing
  • Managed Care No-pay claims list
  • DSS Renewal List to track Renewal due dates & issues
• Cover the Reception Desk Mondays from 8am to noon, and when Receptionist goes to the bank, on errands, on break, or is out.
• Maintain resident & billing filing, daily.

Knowledge, Skills & Abilities:

• Long Term Care billing and collection experience strongly recommended with a proven understanding of State & Federal regulations.
• Excellent organizational and communication skills.
• Ability to relate positively, effectively, and appropriately with residents, families, vendors and Facility staff.
• Computer literacy and knowledge of Microsoft Outlook, Excel & Word. Familiarity with PCC is a plus.
• Ability to maintain confidentiality as it relates to patient information. (HIPAA)

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

Apply today and become a part of our Business Office team at St. Joseph's Living Center!

Saint Joseph Living Center is an equal opportunity employer, veterans & disability. All qualified individuals will be considered for employment without regard to race, color, religion, gender, sexual orientation, sexual identity or expression, genetics, national origin, age, disability, pregnancy, political affiliation, veteran status or any other status that is protected by local, state or federal law.

St. Joseph's Living Center conducts extensive background checks and professional references for all potential employees. If selected for hire, you must be able to provide a recent physical and required immunizations including fully-vaccinated status for Covid-19.