Corporate Billing Specialist

Corporate Biller : Overview

The Corporate Biller accurately bills payers to assure timely payments of services provided, follows up on unpaid claims and audits accounts as necessary to resolve balances. Additionally, the Corporate Biller will provide assistance to the Director of Revenue, as requested.

Qualifications

• Education or experience with accounting functions, including accounts payable, billing, accounts receivable, collections, and bank reconciliations. A degree is preferred, but not required with significant relevant experience.
• Specialized training in Medicare and Insurance billing preferred
• At least two years long term care billing experience
• Working knowledge of third-party insurers
• Working knowledge of the department of Human Services
• Understands and has worked with Availity and similar programs
• Understands process of Medicaid Applications
• Understands Medicare Eligibility
• Understands Michigan MI Health
• Experience with collection calls and follow up documentation.
• Strong organizational skills, including managing the outcomes of others, and the ability to effectively multitask.
• Possesses strong interpersonal skills, including communication with supervisors, other staff and managers in the facility, vendors, and effective communication with residents and family members.
• Ability to effectively manage outcomes of this position as well as the outcomes of others in an environment of accountability.
• Effective user of technology, including personal computer and software applications in job functions. Examples include Microsoft Outlook, Email, Word, Excel, Internet, and use of billing and accounting software.

Supervisor : Director of Revenue Cycle

Essential Functions and Responsibilities

To perform this job successfully, an individual must be able to perform each key function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.

Responsibility

The Corporate Biller will be responsible for maintaining the following :

LEADERSHIP : demonstrates willingness to take risks, generates new ideas for change; evaluates and recognizes priorities, select effective team members, challenges others to learn, keeps current and integrates new information, communicates and models organization values, fosters high performance, recognizes need for and provides adequate resources.

PROCESS IMPROVEMENT : Applies PI principles, tools, and techniques; assists in data collections; identifies processes for improvement in daily work; educates new staff in team process.

INTERPERSONAL SKILLS : Demonstrates active listening techniques; gains support through effective relationships; treats others with dignity and respect; seeks feedback; sets clear standards for performance; evaluates job performance and provides effective feedback; establishes systems to measure effectiveness, efficiency, and service; creates and maintains reporting mechanisms.

CONTINUING EDUCATION : Attends in-service and education programs; attends continuing education required for maintenance of professional certification or licensure.

PHYSICAL DEMANDS : The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is frequently required to stand and walk. The employee is occasionally required to sit for long periods of time completing work on the computer; reach with hands and arms; and talk or hear. Occasional physical effort with light to medium objects. Occasionally required to lift objects of 10 to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, and peripheral vision. Ability to travel to multiple locations as needed.

WORK ENVIRONMENT : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually moderate.

JOB DESCRIPTION REVIEW : I understand this job description, its requirements, and that I am expected to complete all duties as assigned. I understand the job duties, may be altered from time to time. I have noted below any accommodations that are required to enable me to perform these duties. I have also noted below any job duties that I am unable to perform, with or without accommodation.