Skilled Billing Coordinator

Skilled Billing Coordinator Location: Hamilton, OH Schedule: Monday-Friday Work Arrangement: Hybrid after training Position Overview We are seeking a detail-oriented and analytical Skilled Billing Coordinator to join a growing healthcare billing team in Hamilton, Ohio. This individual will be responsible for managing skilled nursing and Medicare/managed care billing, insurance accounts receivable, payment posting, account reconciliations, adjustments, and collections.This role is ideal for someone with hands-on experience in healthcare billing, particularly skilled nursing, long-term care, or facility-based claims. The successful candidate will be comfortable navigating complex payer requirements, researching denied claims, resolving outstanding balances, and managing multiple billing responsibilities in a fast-paced environment.The position offers an opportunity to join a collaborative, cross-trained team with opportunities to learn, contribute, and grow. Key Responsibilities Manage Medicare Part A and Part B, managed care billing, and related accounts receivable.Ensure patient and client registrations are accurate and complete within the billing system.Review billing for accuracy and completeness and submit claims within established monthly deadlines.Post electronic funds transfer (EFT) payments daily and reconcile payments against billing systems.Review outstanding accounts receivable, investigate unpaid balances, and follow up with insurance payers to resolve outstanding claims.Research and resolve denied, rejected, or unclear claims by identifying issues and determining appropriate next steps.Process account adjustments, credits, refunds, and payer recoupments in accordance with established guidelines.Reconcile EFT/ACH payments and complete weekly and month-end account balancing activities.Monitor outstanding credit balances and ensure timely resolution of government payer credits.Coordinate with Medicaid and private-pay billing team members to resolve account discrepancies and related balance issues.Assist with census reviews, ancillary billing, periodic audits, and special projects.Provide backup support for other billing functions as needed.Maintain clear communication with insurance companies, internal team members, and other stakeholders. Qualifications High school diploma or equivalent required.At least one year of experience in a billing specialist or related healthcare billing position.Experience with skilled nursing, long-term care, senior living, behavioral health, or other facility-based healthcare billing strongly preferred.Working knowledge of Medicare, Medicaid, managed care, and commercial insurance billing requirements.Hands-on experience with insurance accounts receivable, collections, payment posting, claim follow-up, and account reconciliation.Familiarity with payer contracts, reimbursement guidelines, and fee schedules preferred.Experience with PointClickCare (PCC) or another electronic health record (EHR) or healthcare billing system is a plus.Basic proficiency in Microsoft Excel, Word, and Outlook. Skills for Success Strong analytical, critical-thinking, and problem-solving abilities.Ability to investigate complex billing discrepancies and work through claim denials independently.Excellent organization and attention to detail when managing multiple accounts and deadlines.Ability to interpret payer requirements and apply billing rules accurately.Strong verbal, written, and interpersonal communication skills.Ability to work collaboratively with a team while taking ownership of assigned responsibilities.Adaptability and willingness to learn new processes, systems, and billing requirements. Work Schedule and Benefits Full-time, Monday-Friday schedule.Onsite five days per week during the initial training period.Hybrid schedule available after training, with approximately two to three days per week in the office.Competitive paid time off.Health and dental insurance options.401(k) plan with a 3.5% company match when employees contribute 6%.Interested? If you have healthcare billing experience, understand insurance accounts receivable, and enjoy investigating and resolving billing challenges, we encourage you to apply. Equal Opportunity Notice Highspring LLC (d/b/a Vaco by Highspring) and its parents, affiliates, and subsidiaries ("we," "our," or "Vaco by Highspring") are committed to the full inclusion of all qualified individuals and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by applicable law. The company is also committed to ensuring that persons who need them are provided with reasonable accommodations; if an accommodation is needed to participate in the job application or interview process, please contact HR@vaco.com . Vaco by Highspring also wants all applicants to know their rights that workplace discrimination is illegal. Representation Notice By submitting to this position, you agree that you will be giving Vaco by Highspring the exclusive right to present your as a candidate for the foregoing employment opportunity. Additionally, you agree to be included in our talent pool for future hiring for similarly qualified positions. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. Lastly, you agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco by Highspring about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco by Highspring agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal. For residents of Ontario, Canada only: to the extent the position for employment is not with Highspring or not otherwise noted as vacant above, candidate should be informed that this role is to replace a presently employed person at Vaco by Highspring's client. Privacy Notice Vaco by Highspring respects your privacy and are committed to providing transparent notice of our policies. California residents may access Vaco by Highspring HR Notice at Collection for California Applicants and Employees here. Virginia residents may access our state specific policies here. Residents of all other states may access our policies here. Canadian residents may access our policies in English here and in French here. Residents of countries governed by GDPR and UK GDPR may access our policies here. Additionally, submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. More details about Vaco by Highspring's use of AI can be found here (https://www.highspring.com/ai-use-notices/). Further assessment of candidates beyond this initial phase will be conducted by recruiters and hiring managers. Vaco by Highspring does not know and cannot opine on if its client's use of AI products in hiring. Pay Transparency Notice Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: · the individual's skill sets, experience and training; · licensure and certification requirements; · office location and other geographic considerations; and · other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses and/or participation in medical, dental, and vision benefits as well as the company's retirement plan (or similar retirement benefits).