Billing Specialist

Bear Mountain Healthcare

Seeking a full-time Billing Specialist with experience in a Skilled Nursing Home setting, with experience in Medicaid, HMO/Insurance, Private Billing and Masshealth Application Process.

Duties include:

• Review and bill out HMO/Insurance and Medicaid claims monthly.

• Work with families, attorney’s and Masshealth to get residents approved for Medicaid.

• Investigate, resolve and process claim denials and resubmits according to the Insurance/Medicaid guidelines.

• Calculate, prepare, and issue bills, invoices, account statements and other financial records according to established procedures.

• Entering census data in Point Click software, such as new patient information, discharge, and any other census information.

• Ensure patient account information is updated in a timely manner, including all patient data and insurance information

• Send out private bills monthly, review, research and respond to all patient inquiries regarding patient accounts.

• Daily deposits and post cash to patient accounts.

• Ensure overpayments/refunds are appropriately processed and applied to patient accounts.

• Post ancillary billing invoices in billing software monthly.

• Experience with (RFMS) Resident Fund Management Services.

• Perform additional duties as assigned.

Requirements Include:

• 3-5 years’ experience in Billing and Collections in Skilled Nursing Facility.

• Experience with Point Click Care Software required.

• Candidates must be detail oriented with excellent computer skills.