What are the responsibilities and job description for the Billing Coordinator SNF position at Epworth Villa?
Summary:
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:
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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
- 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
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