Billing Manager

Job Description

Job Description

BASIC FUNCTIONS

The primary purpose of the Billing Manager Long-Term Care is to manage and process claims, ensure timely reimbursements, and handle accounts receivable for our long-term care clients. They will also prepare billing statements and process payments for our Independent Living residents.

ESSENTIAL RESPONSIBILITIES

• posting transactions in the billing system.
• Responsible for the verification of appropriate charges and the data entry of ancillary resident charges into the billing system from third party systems including Accurately prepare, submit, and follow-up on claims for Medicare, insurance and private pay accounts.
• Responsible for coinsurance billing for Medicare A & B.
• Maintain up-to-date knowledge of billing and reimbursement guidelines related to long-term care.
• Perform account analysis to ensure all services provided are correctly billed and reimbursed.
• Participates in Medicare triple check with clinical team members.
• Resolves any billing discrepancies, claim rejections, and denials in a timely manner.
• Communicates with insurance providers and patients to resolve issues related to claims and payments.
• Manages accounts receivable, ensuring timely collection and minimizing aging balances.
• Prepares and sends out resident invoices and billing documents.
• Processes resident payments and refunds promptly
• Responsible for handling resident billing inquiries and providing customer service.
• Responsible for deposits of cash receipts of the facility and Worxhub and Full-Count POS Reconciles facility census to billing software and ensures room rates are recorded accurately.
• Upon Finance Department approval, close period for patient billing, residential billing and nurse practitioner billing.
• Attends Finance Committee meetings to prepare and transcribe accurate meeting minutes in a timely and accurate basis
• Other duties as assigned.
• system.

EDUCATION, SKILLS And ABILITIES