Billing Specialist

Position Description: Provides billing support to the Personal Care Home, Assisted Living Community, and the Skilled Nursing Facility. Includes billing for Medicaid, Medicare, insurance and private payors for services provided. Duties will include, but not limited to, claims submission and follow-up, benefits verification and obtaining prior authorizations. This is an hourly position requiring a commitment of at least eight hours per day to complete job duties.

Minimum Qualifications: A combination of college degree and at least 3 years’ experience with billing for healthcare services, preferable in a skilled nursing environment. Good organizational skills and the ability to work with diverse populations. Must have strong computer skills, including proficiency in Microsoft Office, including Word, Excel, PowerPoint, Publisher and Outlook. Must be at least 21 years of age, have a valid Class C Georgia Driver’s License, proof of vehicle insurance, and meet company policy regarding MVR requirements. Must meet state requirements regarding a GBI and FBI criminal history record check which requires fingerprinting. Must undergo and pass a drug screening and screening for Tuberculosis. Must be fully vaccinated against COVID-19 by date of hire.

Essential Duties and Responsibilities

• Compile information required to bill for services

• Work with skilled nursing staff to perform monthly triple check.

• Reconciliation of internal skilled nursing census to billing system

• Benefits verification for nursing home services

• Maintain Medicaid and Medicare Bad Debt Logs

• Serve as super user for Point Click Care billing system.

• Responsible for Advanced Beneficiary Notifications and Notices of Medicare Non-coverage

• Assist with annual budgeting

• Prepare revenue analysis reports

• Responsible for billing issues / denied claims resolution while communicating progress to the Controller on a weekly basis

• Assist with month-end and year-end close

• Assist with audit and IRS Form 990 preparation.

• Assist with compilation of information for Medicaid and Medicare Cost Reports

• Serve as the secondary relief in all absences of the Villager Funds Administrator.

• Maintain knowledge of Georgia Medicaid and Medicare regulations.

• Attends all required and assigned trainings.

• Performs other duties that may be necessary in the best interest of Annandale at Suwanee, Inc. to meet the personal service needs of the Annandale Villagers.

Job performance will be assessed at least annually using the Annandale Village performance evaluation process.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities.

Physical and Sensory Requirements:

• Ability to read, write, and speak English.
• Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
• While performing the duties of this job, the employee is regularly required to use hands; use fingers; handle or feel; reach with hands and arms; talk; and hear. The employee frequently is required to sit, stand, and walk; climb or balance; stoop, kneel, crouch, bend, or crawl. Employee is required to lift up to 25 pounds and/or move up to 75 pounds (with assistance). Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. Employee is required to transport (drive) and assist Villagers in and out of vehicles. Employee is required to perform CPR/First Aid.