Nursing Home Billing Specialist

200 Washington Avenue Extension, Albany, NY, USA | Hourly | 23.00-24.60 per hour | Full Time

The Teresian House is currently hiring. This opportunity is a Full Time Day position, working 8 am-4 pm! Thank you for considering Teresian House in your choice for employment!

The Nursing Home Billing Specialist is responsible for :

Timely insurance verification of all referrals for potential admission to the facility.

Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations (MCO's) and private insurance.

Preparing and submitting claims, resolving billing issues, managing accounts receivable, and working with families and third-party payers to ensure proper reimbursement.

Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic systems daily.

Preparing and submitting timely billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid claims.

Communicating with families, residents and insurance companies regarding account status and unpaid claims.

Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices.

Working with other departments to ensure accurate census date and payer sources are maintained.

Assisting with audits and providing requested documentation for compliance and financial reviews.

Maintain accurate and confidential billing records in accordance with HIPAA regulations.

Qualifications :

High School Diploma or GED required. Associate's Degree in Accounting, Business or related field experience preferred.

2+ years of billing experience in a skilled nursing facility (SNF) or healthcare setting

Strong knowledge of Medicare Part A / B, MCO's, NYS Medicaid and commercial billing.

Experience with billing software - Point Click Care

Proficient in Excel and data entry

Excellent communication and organizational skills

Ability to manage multiple tasks and meet deadlines

Knowledge of HIPAA regulations and healthcare confidentiality standards.

Preferred Skills :

Previous Nursing Home Billing experience.

Knowledge of claims and experience resolving billing issues.

Experience with SNF benefits specific to rehabilitation.

Knowledge of NYS Medicaid application process.

Do you want to join a team committed to enhancing the lives of our residents by providing optimal service in a homelike atmosphere? We invite you to join our team and reap the benefits of becoming part of the Teresian House family :

Excellent starting pay rate with competitive and generous benefits

Generous paid time off with cash-in options

Cost-shared health, dental, and optical insurance with a significant employer paid share

Opportunity for career pathways

Retirement plan with employer match

Free meal daily

Fully paid group life insurance

Employee Assistance Plan including individual counseling and referral to community services

Tuition assistance and scholarships!

Our mission is evident in the daily interactions our staff have with residents and their families. At Teresian House, we are truly "Where the spirit of love and dedication lives..."