Corporate - Senior Billing Specialist (Remote in Northern California)

Location: 1 Transforming Age HQ1 1 1980 112th Ave NE 11 Bellevue WA 98004 1 The salary for this role is $75,000 to 85,000 DOE . This position is remote in Northern California (Sacramento, Napa, Saratoga, and the greater surrounding areas), and we offer great pay nad benefits including Medical, Vision, Dental, 401(k) with instant matching, generous PTO, and much more! We are hiring a Senior Billing Specialist to join the team! This important role ensures the financial success of the organization by performing full-cycle billing & help with collection procedures for the skilled nursing facilities as well as providing accurate reports to accommodate billing and payment processes. Our Senior Billing Specialist:

• Is responsible for Full cycle of Accounts Receivable, including but not limited to private and governmental contracts - Federal, State and local for the skilled nursing facilities. This includes all 3rd party payors including Medicare, HMOs, coinsurance, private pay, etc.
• Ensures all billing is being completed/submitted accurately, timely and in accordance with set policies and procedures.
• Assists with private pay billing at other levels of care as needed.
• Ensure all ancillary charges are entered and accurate on bills before they are submitted.
• Participates in Accounts Receivable aging reviews with facility staff and Accounts Receivable Manager on a regular basis.
• Assists facilities in collection procedures on private and insurance balances.
• Assists in analysis on legacy clients to identify collectability of accounts receivable. Proceeds with collection procedures in collaboration with Accounts Receivable Manager and facility team.
• Reconciles Accounts Receivable with general ledger and posts all cash receipts received to appropriate accounts.
• Coordinates with Accounts Receivable Manager and facility staff/management to ensure accuracy of records in order to convert records to billing numbers according to client’s billable source.
• Performs reconciliation of billing and collections and is able to identify unbilled or rejected services and accurately rebill, sometimes in collaboration with Accounts Receivable Manager and/or subject matter experts.
• Assist facilities with various government audits including Medicare RAC audits and appeals as needed.
• Establishes a compassionate and respectful environment by practicing good communication skills
• Maintains a cooperative and respectful relationship with co-workers, clients and others by communicating information; responding to requests; building rapport; participating in team problem-solving; conducting self in a professional manner.
• Assures quality of care by adhering to organizational values, standards and legal requirements; following policies and procedures; participating in improvement and change; reporting and proposing needed changes.
• Maintains the credibility and reputation of organization by complying with regulatory standards and legal requirements; and by keeping information confidential.
• Enhances professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing professional networks and participating in professional societies.
• Supports the Mission, Vision, and Values of Transforming Age in all areas of responsibility.
• Performs other duties as assigned.

What you need to succeed:

• Associates degree in related field, or equivalent combination of education/experience.
• Strong knowledge of healthcare industry required.
• Must have Medi-Cal (California specific) billing Experience
• Ability to occasionally travel to our sites in Saratoga and Napa, CA on occasion.
• Current valid driver's license required (for occasional travel to communities in Saratoga/Napa).
• Must have Medicare, HMO, and other insurance billing experience
• At least 10 years of experience working with Medicaid, Medicare, Insurance claims or in a claims processing environment
• Demonstrated effective written and oral communication and presentation skills and the ability to communicate complex financial information to diverse audiences.
• Ability to troubleshoot and critically think through processes and issues
• Working knowledge of Microsoft Office Suite including excel and billing software.
• Workday experience strongly preferred.

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