What You'll Do

• Cash Posting & Reconciliation: Ensure payments are accurately and promptly posted, accounts are reconciled, and discrepancies are researched and resolved.
• Billing & Claims Management: Coordinate accurate, timely billing for skilled nursing, long-term care insurance, private pay, and other applicable payer sources.
• Census Tracking: Monitor and reconcile resident census information, admissions, discharges, and payer changes to support accurate billing and reporting.
• Long-Term Care Insurance Claims: Manage the submission, follow-up, and resolution of long-term care insurance claims, working with residents, families, and insurance companies to secure payment.
• Medicaid Applications: Coordinate Medicaid applications and eligibility documentation, follow up on pending applications, and work to minimize delays in coverage and reimbursement.
• Collections & Account Follow-Up: Proactively manage outstanding accounts, contact responsible parties and payers, resolve billing questions, and implement effective follow-up processes.
• Account Research & Resolution: Investigate unpaid claims, denials, payment discrepancies, and aging balances, taking ownership of issues through resolution.
• Reporting & Accountability: Monitor accounts receivable aging, identify collection trends, and communicate opportunities for improvement to leadership.
• Teamwork & Communication: Collaborate with admissions, business office staff, clinical leadership, residents, and families to ensure accurate information, clear communication, and a positive experience.

What We're Looking For

• Experience in accounts receivable, billing, collections, or business office operations, preferably in a skilled nursing facility, senior living community.
• Knowledge of Medicare, Medicaid, private-pay billing, and long-term care insurance claims.
• Strong organizational skills and exceptional attention to detail.
• A proactive approach to identifying problems, researching discrepancies, and resolving outstanding balances.
• Excellent communication and customer service skills when working with residents, families, insurance companies, and colleagues.
• Strong follow-through, personal accountability, and the ability to manage multiple priorities and deadlines.
• Proficiency with computers, billing systems, spreadsheets, and financial records.
• A commitment to confidentiality, accuracy, and the mission of Regina Health Center.