Salemtowne - Billing Coordinator

Job Summary:

The Billing Coordinator is responsible for the accurate and timely billing of monthly invoices, claims, and accurately recording charges. Prepares and analyzes accounts receivable, general ledger, financial statements and annual audit and cost report schedules as assigned. Promotes positive image of organization and supports a high level of resident satisfaction.

Essential Job Functions:

• Ensures accurate and timely billing of monthly resident invoices by posting/reconciling ancillaries, entering/reconciling census information, and preparing monthly resident invoices for distribution in accordance with the finance monthly task schedule.
• Ensures accuracy of insurance claims by verifying Medicaid eligibility monthly and private insurance eligibility as needed. Also billing the appropriate payer for skilled nursing and ancillary services (i.e. Hospice, third party coinsurance claims, etc.).
• Maintains corporate compliance by billing Medicare Part A claims to Medicare in accordance with CMS guidelines and private insurance claims in accordance with their specific guidelines. Maintains resident confidentiality in accordance with HIPAA regulations.
• Supports revenue collection objectives by generating Medicare claims in a timely manner and managing delinquent accounts in accordance with company collection policy and procedures.
• Ensures compliance with Medicare guidelines by recommending and implementing policy and procedure changes for billing activities, including follow-up on third-party approvals and collection of overdue accounts, through review of bulletins and attending seminars, training, etc.
• Maintains corporate integrity by processing resident refunds in a timely manner and implementing any corporate compliance policies and/or procedures related to Accounts Receivable.
• Supports corporate compliance by analytically assessing Medicare Part A expenses, determining appropriate payment for outside services, and accurately recording charges on residents' accounts.
• Ensures accurate recording of accounts receivable by posting daily operations cash receipts as well as all Medicare, Medicaid, and private insurance EOBs.
• Ensures efficient collection of accounts receivable by reviewing accounts receivable for accuracy, assuring days in A/R are maintained at an acceptable level for the organization, analyzing processes, troubleshooting issues and cross-training.
• Accurately reports revenue by reconciling daily resident census, billing and midnight censuses, and monthly filing of governmental census reports.
• Maintains accounts receivable billing software including review of updates, notifying team members of changes in software programming, ensuring CMS guidelines for billing are met by software, and the overall accuracy and functioning of the accounting software and information contained within the software used for billing.
• Completes and submits monthly census report to Medicaid and the Case Mix Index Report to the appropriate agency.
• Audits Medicare and Medicaid claims and reconciles third-party ancillary charges.
• Ensures compliance with applicable industry rules and regulations by maintaining up to date knowledge of healthcare billing laws, rules, regulations, and developments. Reviews CMS notifications and attend training as necessary.
• Supports resident satisfaction objectives by providing prompt assistance to residents with questions and by directing them to the appropriate resource if necessary.
• Supports teamwork within the organization by assisting departments with special requests and projects at the discretion of the supervisor.
• Supports and promotes Salemtowne Shines culture & philosophy.
• Performs other duties as assigned.

Required Skills/Abilities:

• Technology savvy and proficient in software applications (i.e. Excel, Word, Payroll, Timekeeping, GL, AP).
• Ability to operate in fast-paced environment.
• Capable of analyzing data and reports.
• Strong communication skills, verbal and written.
• Capable of responding to the needs of team members and residents in a timely manner.
• Possess a strong sense of urgency and good work ethic.
• Strong attention to detail.
• Proficient and accurate in data entry.
• Ability to work in a team.
• Ability to have positive interactions and relationships.

Education and Experience:

• High school diploma or GED.
• Associates degree in a business-related field preferred.
• Two (2) to four (4) years' insurance billing and/or accounting experience; preferably in a medical office setting.

Physical Requirements:

• Lift, pull, and/or push up to 50 pounds.
• Carry up to 20 pounds.
• Sensory demands include vision correctable to 20/20, touch using fine finger movement/dexterity, smell, and hear correctable to normal range.

Work Environment:

Works throughout a clean, well-lit, and environmentally controlled community.

All requirements are subject to possible modification to reasonably accommodate individuals with disabilities.

This job description in no way states or implies that these are the only duties to be performed by the associate occupying this position. Associates will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor.

Requirements are representative of minimum levels of knowledge, skills and/or abilities. To perform this job successfully, the incumbent will possess the abilities or aptitudes to perform each duty proficiently.

This document does not create an employment contract, implied or otherwise, other than an at-will employment relationship.