Clinical Billing Specialist - Medicaid

About the role

Southern Healthcare Management is seeking a detail-oriented Clinical Billing Specialist to join our Corporate Finance team. This position plays a vital role in ensuring the accuracy and integrity of resident account transactions across our skilled nursing facilities.

Responsibilities

• Review and process facility refund requests, ensuring accuracy of account information and compliance with company policies.
• Verify and enter account adjustment requests into PointClickCare.
• Process bad debt and reimbursable bad debt postings.
• Credentialing/Recredentialing of Insurance Providers.
• Conduct Patient Trust reconciliation audits.
• Review and process adjustments for various clearing accounts.
• Prepare financial reports as needed.
• Review payer aging reports weekly and identify discrepancies.
• Provide support and guidance to corporate, regional, and facility staff regarding PointClickCare financial processes.
• Ensure compliance with company policies and applicable state and federal regulations.

Requirements

• Experience in healthcare billing, patient accounts, accounts receivable, or long-term care finance preferred.
• Working knowledge of PointClickCare is highly preferred.
• Strong attention to detail with excellent organizational and analytical skills.
• Proficiency in Microsoft Excel and other Microsoft Office applications.
• Ability to prioritize multiple tasks and meet deadlines in a fast-paced environment.
• Excellent written and verbal communication skills.
• Ability to work independently while collaborating effectively with corporate and facility teams.

About Us

Southern HealthCare Management is a family of 44 skilled nursing and rehabilitation centers throughout Florida, Georgia, and North Carolina. With corporate offices in Orlando, FL (Casselberry), Atlanta, GA, and Raleigh, NC, we are dedicated to promoting and directing high-quality nursing care and rehabilitative services to meet the physical, emotional, and social needs of those we serve.

• Sincere Appreciation…for everyone
• Hearing Needs…and responding quickly
• Caring Approach…in everything we do
• Managing Situations…for positive outcomes