Job Posting for Third Party Billing Specialist at BHI Senior Living

Employment Type: Full-Time

Overview

The mission of BHI Senior Living Inc. is to enhance the quality of life for older adults within a secure environment that supports their needs, values, interests, and independence while encouraging personal and spiritual development. BHI is an organization deeply committed to doing what’s right for the people we serve and those we employ. Our faith-based values guide us in every decision we make and have resulted in over 50 years of providing exceptional care for seniors. As one of the most well-respected and well-funded non-profit organizations in the Midwest, BHI Senior Living offers nine Life Plan Communities and two Active Adult Communities in Indiana, Michigan, and Ohio.

What We Offer!

Competitive pay starting at $23.88 per hour
Remote work on Fridays
Tuition Reimbursement Program and Student Loan Assistance Program ($500 per quarter, for up to 5 years)
Career tracks with a strong professional development program
Company outings and in-office celebrations planned by the Recognition and Party Committee
Robust benefits including 401k match (up to 5%), medical, dental and vision insurance
Employer-paid life insurance
PTO (paid time off) earned from day one of employment
Paid holidays and an annual Christmas bonus
Access to 24/7 Employee Assistance Program (EAP) to help resolve problems that may occur (personal, financial, marital, legal)

Summary

The Third Party Billing Specialist (full-time position) is a critical role in our corporate office providing direct support to one of our BHI communities. As a Private Pay Billing specialist, your primary responsibility will be census tracking and billing.

Duties and Responsibilities:

Perform insurance verifications for all BHI communities in a timely manner.
Perform initial Medicare Advantage Part B pre-authorizations for all BHI Communities.
Communicate insurance and pre-authorization information with staff at each BHI Community.
Enter new skilled residents into PCC for assigned communities.
Process Medicare A & B and Medicare Advantage A& B Claims for assigned communities.
Perform claim follow up for assigned communities.
Post Third Party payments for assigned communities.
Assist Third Party Billing Manger with resident concerns.
Travel to assigned communities quarterly.
Performs all other duties as requested by supervisor.

Qualifications:

At minimum, a high school degree, together with successful work-related experience/training in Medicare and Insurance processing, is required.
At minimum, must be able to acquire sufficient knowledge and learn new skills through on-the-job training and instructions to satisfactorily meet job performance requirements at the end of the introductory period.
The ability to communicate effectively, both verbally and in writing
Basic computer related skills
Experience with (or capacity to learn) basic/standard computer systems (billing programs, electronic spreadsheets, word processing) and office equipment, and other skills as required.

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Third Party Billing Specialist

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