Billing Manager - Private/Medicaid

Billing Manager - Private/Medicaid

Full Time | Days

Masonic Villages of Pennsylvania - Elizabethtown Campus - is immediately hiring for a Billing Manager-Private/Medicaid.

With over 145 years of providing award-winning care and services across the state of PA, Masonic Villages is driven by our Mission of Love to assist individuals in realizing their potential and enjoying the highest possible quality of life.

Why Choose Masonic Villages:

Each campus is supported by corporate leaders who are fully invested in our Mission of Love and hiring like-minded individuals who are committed to providing heartfelt customer service and contributing to our team environment. When you join our team you can expect:

• Comprehensive industry-leading benefits package ***
• Vacation Time/Flex Time and Paid Holidays ***
• Pay on-demand. Access to a portion of your earned wages in real-time.
• Discounted Grocery gift cards
• Tuition and Educational Reimbursement ***
• Discounts for onsite Daycare
• Free Gym and Pool Membership ***
• Paid lunch break ***
• Discounted tickets for movies, theme parks, hotels, and MORE!
• Shoe discounts
• Cell phone discounts
• Weekend differentials and additional shift differentials!
• Employer matched Retirement Savings with free financial planning ***
• Employer - sponsored Employee Assistance Program (EAP)
• A commitment to growing our leaders with leadership & mentorship programs available

Key: *** = Full Time & Part Time Regular Staff Only

As a Billing Manager, you will carry out our Mission of Love by managing the Private Pay/Medicaid team and coordinate billing processes, providing support and training to meet compliance and regulatory requirements resulting in accurate billing and reimbursement.

Our Billing Manager is responsible for the following:

• Work with leadership and team to provide training and oversight to meet billing and collection goals
• Ability to problem-solve and appropriately communicate issues affecting position's responsibility. Monitor various government programs and work with team for appropriate enrollment into such for benefit of resident and Masonic Village.
• Provide education and training for the team to develop efficiency and solutions for regulatory issues; provide performance feedback
• Responsible for timely and accurate billing, cash application, and Accounts Receivable follow up
• Responsible for supervising Private pay/Medicaid billing staff, reviewing receivable balances with the insurance team monthly
• Responsible for audits of billing for compliance and financial risk
• Manage daily census processes
• Liaison for clinical staff concerning insurance verification and related issues
• Participate in educational conferences held by CMS, DHS and other recognized groups as necessary; monitor changes in regulation and recommend process and software changes as needed

What You Need as a Billing Manager:

• Strong Management/Leadership experience
• Accounting or finance degree preferred, or minimum of five years healthcare finance experience.
• Strong understanding of Medicaid eligibility and billing, Medicare/CMS regulations for skilled nursing facility and consolidated billing, and ability to research regulatory questions and issues. Working knowledge of UB04 claim forms.
• Technical proficiency with various billing software. Experience with Point Click Care preferred.
• Proficiency in computer operations. Demonstrated experience with Microsoft Office Suite to include spreadsheet development and data analysis functionalities. Efficient management of digital files and databases. Experience with cloud-based collaborative tools (e.g., Microsoft Teams, SharePoint) preferred.
• Understanding of Long-Term Care Medicaid benefits and reimbursement, and familiar with Medicare, Managed Care, Commercial and third-party payers.
• Any equivalent combination of training and experience.

We are proud to be an equal opportunity employer.