RRC Billing Specialist

Overview

The RRC Billing Specialist will perform all duties related to the timely and efficient billing of account receivables for Skilled Nursing Facilities in a central billing environment, in accordance with Federal, State, and local regulations while ensuring sustained financial integrity and fiscal guidance.

Responsibilities

• Perform direct data entry billing and online claim corrections for assigned payor responsibility.
• Bill and re-bill claims, as necessary, to include month end billing for new facilities or Business Office staff.
• Work all online denials within forty-eight (48) hours of receipt, taking any action necessary to secure account resolution.
• Retrive Medicare Remittance Advices for all facilities online. Update Medicare spreadsheet for cash recording and posting.
• Identify and report trends within specific payor categories that may provide insight into payment challenges.
• Responsible for ensuring proper cash flow management, including compliance with all Medicare and Medicaid regulations.
• Prepare and submit reports on a timely basis, as required and directed by the Director of Accounts Receivable, CFO, the company, and governmental agencies.

Requirements

• A High School Diploma or GED required.
• Minimum of one (1) years’ experience in long term care or hospital billing.
• Knowledge and understanding of billing practices within the healthcare and long term care industry.
• Proficiency with Medicare, Medicaid, Managed Care, Workman’s Compensation, commercial insurances, and/or DME billing is required.
• Up to date with industry regulations and compliance issues.