Billing & Collection Specialist

Billing and Collections for Private, Medicare A & B, Medicaid and other insurance residents for a 152 privately owned senior living community. Our community consists of a 60 bed SNF (Medicare 5 Star staffing and overall) and a 92 Assisted Living, located on one campus.
Benefits
Medical insurance, Prescription drug coverage, Paid lunch time and meals are provided free of charge, Vacation, Holiday and Sick Pay. Unused sick pay is paid out annually up to four days, the rest is banked for future needs., Employee Referral Program, 401K with company match, Parking available
Culture
Sunnyside Manor, located in Wall NJ, is the area’s premier senior living community. It features three distinctive neighborhoods: Independence ‘Plus’ Assisted Living, Recollections Memory Care, and Skilled Nursing and Rehabilitation. We are a second generaton family and privately owned community. 5 Star CMS for staffing and overall.
Responsibilities
Required Skills: Proficiency in healthcare billing software and electronic medical record (EMR) systems.

• Experience with EMR required (we use PointClickCare)
• Experience with 3rd party billing platform required (we use Quickbooks).
• Strong organizational skills and attention to detail. Exceptional communication skills and the ability to collaborate with cross-functional teams.
• 3-5 years of hands-on billing and collections experience, demonstrating a strong understanding of industry nuances.
• Process monthly resident billing, ensuring accuracy and timeliness.
• Answer billing questions from residents and family members.
• Gather, process, and submit timely billing for the monthly Medicare and Medicaid billing.
• Work closely with our therapy department and MDS coordinator to ensure the accuracy of resident Medicare information and proper adherence to Medicare guidelines.
• Process and submit co-insurance claims to insurance providers, and follow-up on any unpaid or short-paid reimbursements.
• Process electronic payments and post them into the company’s EMR and accounting software by gathering the required information from third-party portals.
• Process and post payments from residents and insurance companies into the company’s EMR and accounting software.
• Maintain PNA (Personal Needs Allowance) bank accounts.
• Maintain up-to-date knowledge of billing requirements for Medicare, Medicaid, and third-party payors.
• Collaborate with other departments to ensure accurate and timely data entry.
• Review accounts receivable aging and collect past due accounts by the most effective means including telephone calls, email, and mailings.
• Prepare information for Medicare/Medicaid annual cost reports as needed. Other responsibilities as deemed necessary.

Requirements
Authorized to work in the US without sponsorship
Experience with Medical Records platform (Point Click Care)
Minimum 3 years of hands-on billing and collections experience, demonstrating a strong understanding of industry nuances
Equal Opportunity Employer
Sunnyside Manor provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Requisition #clvwsxeek1dfz0rs1ritn7hik