Billing Specialist

We’re looking to add an experienced Billing Specialist to process, handle, and oversee the accounts receivable functions for our SKLD facilities.

Why Should You Apply?

• At Illuminate HC, we hire people, not positions.
• We’re an innovative company focused on growth and professional development
• We believe our people are our greatest asset, and their passion, focus, and energy are central to achieving our goals.
• We offer competitive wages and affordable benefits for both full-time and part-time employees.
  
• Flexible Time Off – instead of accruing paid time off, our exempt employees are offered flexible time off, which means they can take as much time off as they’d like within reason, so long as they continue to meet the expectations of their role.

The Position:

• Handle the billing for all third-party insurance payors, billing questions related to insurance, and monthly billing statements, and will assist with billing questions or issues.
• Completes daily census in conjunction with the designated facilities and completes the month end balance and close for each designated facility.
• Bills the Medicaid claims for all facilities and follows up timely on bill claims that are rejected or improperly paid.
• Prepares for, attends, an actively participates in accounts receivable aging reviews, including identifying root cause of any billing or collection issues.
• Assists designated facilities in collecting outstanding accounts receivables.
• Works with facilities to achieve budgeted days, revenue outstanding, and bad debt expense.
• Verify individual patient/resident financial status and insurance coverage.
• Assists in explaining insurance coverage and discuss billing questions and problems with residents and responsible parties.
• Maintain and apply current knowledge of applicable third-party insurance requirements to ensure compliance with respective regulations.
• Identify and process all refunds, bad debt write-offs, and contractual adjustments (with written approval prior to making changes).

Basic Qualifications and Skills, Knowledge, and Abilities:

• High School graduate or equivalent required.
• At least 2 years of experience in in Long-Term Care billing.
• Experience in Ability and Point-Click-Care preferred.
• Strong oral and written communication skills, and excellent customer service skills.
• The knowledge and ability to create UB04 claims and transmit them to the appropriate party.
• The ability to work with 3rdparty insurance companies, Medicaid, and Medicare to bill, collect, and problem-solve billing items.
• Ability to deal constructively with conflict with customers and payors to resolve problems and disputes.