Central Billing Office - SNF Billing Specialist
Priority Management Group – Dallas, TX
Position summary:
Immediately hiring Medicare/Managed Care Billing Specialists to join an established team of exceptional professionals at our Central Billing Office (CBO).
Job Overview:
This Medicare/Managed Care Billing Specialist will be responsible for the timely and accurate submission of claims to receive the maximum allowed reimbursement for 3-5 Facilities. The position will interact with and provide outstanding customer service to Business Office Managers (BOMs) and Regional Account Managers (RAMs) to facilitate billing and/or resolve claim issues. The Billing Specialist must ensure compliance in record keeping and honor calendar deadlines to achieve billing and financial close goals. This position requires prompt follow up and working closely with the AR Manager on problem accounts.
Job Responsibilities & Duties:
- Preparing, reviewing and transmitting electronic claims using our billing software and clearinghouse, and paper claims as necessary.
- Ensure clean claims released and follow up on unreleased claims within billing cycle timeframes.
- Review payments for accuracy and resolve claim issues based on the information provided in the EOB.
- Coordinate with BOMs to investigate and resolve denied claims and return corrected claims to the appropriate insurer promptly.
- Work with representatives of insurance companies (including Medicare and MCO's) to resolve payment discrepancies.
- Possesses strong analytical, time management, organizational, problem solving and decision-making skills.
- Comfortable communicating with all levels of finance, admissions, medical records, and clinical representatives.
- Must have a working knowledge of Medicare and be familiar with Commercial Insurance Billing.
- Strong computer and billing software skills.
Specific Requirements:
- Must be self-motivated, possess good judgement and know when to seek guidance.
- Demonstrate exceptional communication and interpersonal skills.
- Must be comfortable working in a deadline driven and open team environment.
- Possess the desire to meet goals and complete tasks.
- Detail orientation is essential.
- Remain flexible to change priorities quickly and have the capacity to handle multiple tasks.
- Must be knowledgeable of HIPAA compliance and requirements.
Experience/Education:
- High School diploma or general education degree.
- 1+ years of experience in long-term care billing as a Business Office Manager or at a CBO.
- Experience investigating denials, short paid claims and credit balances.
- Knowledge of American Health Tech or E-Solutions software are a plus.
Benefits:
- Insurance to include: Health, Dental, Vision, Life, Long-term Disability, and other ancillary plans
- Paid Time Off
Priority Management Group is an EOE, M/F/D/V
Job Type: Full-time
Pay: $45,000.00 - $75,000.00 per year
Benefits:
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Tuition reimbursement
- Vision insurance
Schedule:
- Day shift
- Monday to Friday
- Weekends as needed
Work Location: In person