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The Billing Coordinator is responsible for overseeing accounts receivable, billing, and census management for the skilled nursing facility (SNF). This role acts as a key point of contact for residents, families, and insurance companies regarding financial matters, ensuring accuracy, compliance, and professionalism.
Key Responsibilities :
Assist residents and families with financial inquiries, provide information on available resources, and offer guidance on the financial aspects of Nursing and Long-Term care.
Assist with the admissions process, including paperwork and contract signing.
Verify Medicare, Managed Care, Therapy, and supplemental insurance eligibility.
Verify CCM and Optum.
Oversee resident billing, answer questions, and address financial issues with empathy and professionalism.
Review of ancillary charges (meals, salon, etc.) to confirm accuracy.
Coordinate billing with third-party vendors according to the vendor checklist.
Oversee and coordinate billing and collections for Private Pay, Co-insurance, Worker’s Comp, Managed Care and Long-Term Care.
File Long-Term Care Insurance when applicable.
Work with insurance providers to ensure accurate billing and reimbursement.
Maintain accurate and organized records of financial documents, patient information, and other necessary documentation.
Maintain accurate resident census records with daily updates.
Track Medicare and Managed Care data.
Ensure compliance with state and federal regulations related to healthcare and nursing home operations.
Maintain patient privacy and adhere to HIPAA laws and facility policies.
Qualifications for Success :
Fluent in English with strong written and verbal communication skills.
Minimum of 2 years of related experience in billing, accounts receivable, or healthcare finance.
Proficient in Microsoft Excel, Word, and other relevant software systems.
Experience with Matrix Training (preferred) and familiarity with long-term care software systems (e.g., PointClickCare, NetSolutions).
Knowledge of Medicare, Medicaid, and Managed Care regulations and reimbursement methodologies.
Certification in Medical Billing or Coding (e.g., Certified Professional Biller, Certified Medical Reimbursement Specialist) is a plus.
Familiarity with federal and state regulations specific to skilled nursing facilities.
Understanding of HIPAA compliance and patient privacy regulations.
Strong organizational skills with attention to detail and the ability to manage multiple tasks effectively.
Demonstrated problem-solving and analytical skills for identifying and resolving billing discrepancies.
Professional appearance, attitude, and performance in interactions with residents, families, insurance providers, and regulatory agencies.
Empathy and patience when addressing financial matters with residents and their families.
Ability to work independently and collaboratively in a fast-paced environment.
Flexibility to adapt to changes in healthcare policies and billing procedures.