Billing and Collections Specialist, Nursing Home

Brentwood, NY 11717

Department: Revenue Job Number: 6731 Pay Rate: $75000-90000 Employment Type: Full Time

Job Description

Our client, a personalized skilled nursing and rehabilitation care services facility designed to help patients and residents achieve their health goals, is hiring a Billing and Collections Specialist, Nursing Home

Responsibilities
  • Account receivable and billing of patient medical costs and sending invoices to collect payment from patients and their insurers.
  • Entering patients demographics on the billing software system-sending claims to payers in a timely manner, resolving denied claims, review Medicare and Medicaid rules and claims, calling patients to discuss payment and develop reasonable payment plans, and recording information about outstanding claims.
  • Work with patient, responsible parties, attorneys or conservator to ensure request for information regarding Medicaid applications are responded to in a timely manner
  • Ensure that other payers are billed accurately using the right billing codes and reviewing rejected claims for resubmission
  • Review Accounts Receivable Aging reports
  • Report to the Administrator and receive training and additional support as needed
  • Manage patient/resident trust funds and confidential files in compliance with state and federal regulations
  • Ensure that census ties into billing to ensure accurate account receivables, Complete Medicaid application and follow up with necessary steps to ensure that Medicaid applications are granted timely. Work with patient, responsible parties, attorneys or conservator to ensure request for information regarding Medicaid applications are responded to in a timely manner. Ensure that other payers are billed accurately using the right billing codes and reviewing rejected claims for resubmission.
Requirements
  • Must have a minimum of High School diploma
  • Must have completed or have experience with Medical billing and coding training, including knowledge of Medicaid, Medicare, Insurance, and private collection in a long term setting
  • Must have a minimum of 2 years working as a biller in a Nursing home
  • Ability to interact with families or patient upon admission, engage with attorneys, state agencies, and work with interdisciplinary staff is required
  • Must have a strong working knowledge of accounts receivable in the Nursing Home or SNF
  • Must have completed or have experience with medical billing, including knowledge of Medicare, Insurance, and private collection in a long term setting
  • Ability to process collection letters, refer collection matters to attorney and probate court
  • Must be assertive with debt collection.
  • Must have a strong working knowledge of accounts receivable in the Nursing Home or SNF payable. 
Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information.   
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Meet Your Recruiter

Fran Philips
Vice President, Healthcare Recruitment

Fran is a seasoned recruiter who joined Tal in 2008, after a long career in medical billing for multi-specialty practices including dermatology, dental, and ophthalmology. 

Learn more about Fran, Tal Healthcare Employee Biography

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