Billing and Collections Specialist - Full-Time

Summary Description: 

Responsible for the timely and accurate billing and collections of all revenue from private residents and all government and third-party payers; Provides timely resolution to resident discrepancies and inquiries; Assures adequate follow-up and explanation to all outstanding items on the aged receivables report.

Essential Functions:

• Performs job functions in a manner consistent with the mission and goals of the Loomis Communities. Adheres to The Loomis Communities Compliance and Ethics Program.
• Demonstrates an awareness of, a respect for and attention to the diversity of the people with whom they interact (persons served, personnel, families/caregivers, and other stakeholders) that is reflected in attitudes, behavior and services.
• Coordinates all billing for Medicaid, Medicare, third-party insurance, and private residents based on census and ancillary charges provided by facilities; Assures the completion of all billing in accordance with monthly deadlines.
• Maintains scheduled availability at all 3 communities to address resident billing inquiries; troubleshoots and resolves issues with residents in a timely manner
• Provides routine follow-up on unpaid claims; Runs bi-weekly aged receivables report for management and highlights accounts with concern of collectability; discusses challenging accounts with supervisor and other stakeholders as necessary
• Collaborates with all applicable stakeholders regarding systems, processes, and efficiency in terms of timely and accurate charge capture
• Reconciles quarterly PS&R and other regulatory reports to therapy logs and other internal subsidiary tracking reports.

Qualifications:

Preferred Education:

• B.S. Business Administration

Required Experience: 

• Minimum of 3 years billing/collection experience in a skilled nursing facility environment; Solid understanding of Medicaid, Medicare, and third-party billing as it relates to a skilled nursing facility.

Skills/Competencies:

• Strong customer service skills
• Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to read, write, and speak English. 
• Ability to relate well to all residents.
• Ability to deal tactfully with personnel, residents, family members, visitors and the public.
• Ability to report to work regularly and promptly.
• Ability to work beyond normal hours when necessary. 

***This position requires some travel between communities and is not a remote position.