Regional Billing Specialist

Essential Duties

• Accurate and timely submission of claims for Skilled Nursing Facilities (SNF) to all payers including Medicare, Medicaid, HMO, and Managed Care Insurances.
• Payment posting and ensuring accurate and timely payment from all payers.
• Adherence to all relevant regulations, policies, and billing guidelines.
• Following up on outstanding claims and resolving any billing discrepancies.
• Adjustment and write off posting as necessary.
• AR Metric reporting.
• Trending reporting.
• Meting all performance goals.
• Providing assistance to other staff for training purposes and claim resolution.
• Other duties as required and assigned.

Qualification

• Education: Associates Degree or higher in Accounting, Finance, or related field preferred. HS diploma or GED required.
• Knowledge: Knowledge of Medicare, Medicaid, and Managed Care Insurances. Knowledge of state and federal SNF billing regulations and guidelines.
• Skills: Ability to adapt in a fast-paced dynamic environment. Ability to meet deadlines while achieving performance goals. Strong written and verbal communication skills. Ability to critically think through problems to resolution. Ability to be a team-player and willing to assist others when needed.
• Experience: It years of SNF billing experience. PointClickCare experience preferred. Experience with the Microsoft suite of programs including Excel, Word, and PowerPoint.

Physical Demands

• Prolonged periods of sitting or standing at a desk (typically 7-8 hours per day) while reviewing claims, posting payments, and analyzing AR metrics.
• Frequent, high-volume use of a computer mouse and keyboard for data entry, spreadsheet management (Excel), and navigating billing systems (PointClickCare).
• Close visual acuity required for extended screen time to review detailed financial data, identify billing discrepancies, and ensure accurate revenue recognition.
• Minimal physical exertion; rarely required to lift or move objects weighing more than 10 Ibs. (e.g., standard paperwork or light office supplies).
• Ability to effectively communicate via phone, video conferencing, and written email to collaborate with team members and resolve claim issues.

Work Environment

• The noise level in the work environment is usually low to moderate.

Additional Information

• Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time.
• Critical features of this job are described under various headings above. They may be subject to change at any time due to reasonable accommodation or other reasons.