Billing Specialist - Good Shepherd Services, Ltd.

Title: Billing Specialist

Department: Finance

Reports to: Finance Director

Purpose of Position: The primary purpose of this position is to perform various billing activity support functions in accordance with current applicable federal, state, and local standards, guidelines and regulations.

Responsibilities:

)Maintain All Companies Accounts Receivables

• Set up new residents and maintain current history.
• Input all charges on a monthly basis.
• Process month-end statements and mail them out in a timely manner.
• Send out electronic transmissions to ensure prompt and accurate payment.
• Process Medicare A remittance requests on a monthly basis.
• Process Hospice claims on a monthly basis.
• Maintain all appropriate reports (computer and external)
• Assist Social Worker and residents with the billing process, admission paperwork, and insurance authorizations.
• Assist residents and responsible parties with any billing inquiries and Medicaid Applications.
• Coordinate with Outagamie County, EDS, and BQC regarding Medicaid eligibility, status skill level and patient liability amounts.
• Keep current on A/R and software.
• Submit private insurance claims as requested.
• Review MA and MC remittance advices for accuracy.
• Verify Medicaid, Medicare and private insurance coverage.
• Attend daily & weekly Stand Up and Medicare meetings.

2) Other Finance Department responsibilities including but not limited to:

• Assist with processing of bank deposits.
• Maintain resident files.
• Keep all relevant manuals updated.
• Bill out miscellaneous items (i.e. supplies, rent, etc.)
• Assist with insurance company inquiries and authorizations needed for admissions.
• Assist in preparation for and coordination of the annual financial audit.
• Managing cash receipt/cash log process.
• Assist with Resident Trust Account transactions.
• Assist with processing of bank deposits.
• Assist with medical record requests.
• Maintain daily census recording.
• Assist with sorting and filing daily and monthly transactions/reports.
• Assist with preparing various accounting related reports required by management or government agencies.
• Assist with transactions related to Resident discharge files.

EDUCATIONAL AND EXPERIENCE REQUIREMENTS:

Should have a minimum of two years experience in health care billing.

Experience with Microsoft applications and strong computer skills required.

Medical office experience a plus.

Strong attention to detail and accuracy, organizational and time management capabilities, oral and written communication skills, diplomacy and strong technical skills required.

This position requires on-site work. This is not a remote work position.