Demo

Billing Specialist

Edgewood Summit
Charleston, WV Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 6/4/2025

Administrative Biller - Continuing Care Retirement Community

Edgewood Summit Inc.

300 Baker Lane

Charleston, WV 25302

Edgewood Summit is a pioneer and an innovator in the West Virginia Senior Living industry. As West Virginia's first and only not for profit Continuing Care Retirement Community, Edgewood Summit provides attractive, caring, and comfortable living arrangements for its Residents. Since inception in 1995, Edgewood Summit has grown to provide 127 Independent Living Units, 40 Assisted Living Units, 18 Memory Support Units, and 20 Skilled Nursing Units as a place to call Home.

Job Qualifications :

Preference will be given to candidates who possess the following qualifications :

  • High School Diploma or GED
  • Relevant Bachelor's Degree / Associates Degree
  • Relevant Professional Certifications
  • Experience in Customer Service
  • Experience working with a Senior Population
  • Experience in Medical Billing and Coding
  • Experience in Finance and Accounting

Job Description :

The Administrative Biller is responsible for preparing Resident Private Pay account invoices monthly and will monitor outstanding balance to ensure each account is paid on time and in full. The person in this role will possess the ability to manage incoming payments, outgoing invoices, various reporting updates, and other day-to-day tasks. The person in this role will have excellent communication skills and be available to meet with Residents to discuss their account balance and assist with concerns. Additionally, the person in this role will assume various administrative responsibilities, such as filing, scheduling, inputting data, assisting at the reception desk, assisting with accounts payable, etc.

Responsibilities :

  • Maintain an updated and accurate Resident Census, Resident profile and financial data, and other revenue cycle records and procedures.
  • Accurately perform all aspects of private pay collections including, but not limited to, mailing statements, sending letters, making phone calls, attending recurring Accounts Receivable meetings to discuss unpaid accounts, record keeping, and appropriate follow-up with all questions related to private pay billing statements.
  • Accurately record payments received from Insurance Providers and Residents while maintaining current records and balances.
  • Work closely with Edgewood Summit personnel to generate complete and accurate Resident account invoices and to review invoices for any errors or irregularities.
  • Assist third-party billing company with verifying Medicare / Insurance eligibility and other documentation collection as needed.
  • Review and resubmit any past due balances and communicate with third-party billing company and Residents to ensure any balance due is collected timely.
  • Consult with Resident (and / or representative) to arrange payment methods and assist them with understanding their invoice and charges.
  • Cooperate with fiscal intermediaries, accountants, auditors, cost report preparers, governmental agencies, and private insurance companies.
  • Maintain good communication and relationships with other Edgewood Summit departments, Residents, Resident representatives, vendors, and visitors.
  • Be considerate of privacy and confidentiality and maintain compliance with HIPAA regulations.
  • Serve as the back-up Front Desk Concierge as needed.
  • Assist other members of the business office with filing and other administrative duties.
  • Works closely with Health Care Administrator and Business Accounting Manager to accomplish organizational goals.
  • Assist with month end reporting and audit procedures.
  • Perform other duties and tasks as assigned by Health Care Administrator and Business Accounting Manager.
  • Skills :

  • Exceptional customer service skills.
  • Ability to maintain positive relationships with coworkers and residents.
  • Comply with Edgewood Summit work schedule and attendance policy.
  • Strong communication skills.
  • Detail oriented.
  • Self-motivated with an aptitude for problem-solving, critical thinking skills, and follow-through on resolving discrepancies.
  • Basic math, bookkeeping, and accounting knowledge.
  • Organization, time management, and ability to prioritize.
  • Ability to maintain the security of Resident information and comply with HIPAA regulations.
  • Advanced computer skills related to bookkeeping, accounting, and resident billing software.
  • Supervisory Responsibilities :

  • This position has no supervisory responsibilities.
  • Reports to :

  • Business Accounting Manager (Administrative Department)
  • Job Types : Full Time - In Person

    Schedule : The person filling this position will be expected to work Full-Time during normal Business Office Hours.

    Location : Charleston, West Virginia (One Location)

    Setting : Senior Living Facility, Administrative Office

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