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Managed Care Billing Specialist- Skilled Nursing

unlimited holidays - extra holidays - extra parental leave - long remote period allowed
Remote: 
Full Remote
Contract: 
Experience: 
Mid-level (2-5 years)
Work from: 
Texas (USA), United States

Offer summary

Qualifications:

Previous experience with managed care claims, Billing experience for skilled nursing communities, Understanding of payer hierarchy and authorizations.

Key responsabilities:

  • Monitor census and ensure timely billing
  • Submit claims according to deadlines
  • Track and submit unbilled claims
  • Maintain collections at or above 99%
  • Evaluate daily work to minimize bad debt
Touchstone Communities logo
Touchstone Communities Large http://www.Touchstone-Communities.com
1001 - 5000 Employees
See more Touchstone Communities offers

Job description

Managed Care Billing Specialist- CBO/AR Team

Location: Remote (100% remote after initial training period)

  • Preferred TX based candidates as there will be mandatory quarterly meetings held at the CSO in San Antonio, TX.
  • Must have previous experience with managed care claims, billing for skilled nursing communities.

About Us

At Touchstone Communities, we are dedicated to providing best-in-class care to our patients, residents, and Veterans. Our mission is to glorify God by serving others through compassionate, skilled care. We believe that our dedicated team members are key to our success in providing positive healthcare experiences. If you are driven by the desire to help, heal, and empathize in a work environment where every voice matters, we encourage you to apply today and join our mission to serve others at Touchstone Communities.

Position Overview

  • Understand hierarchy of payers, payer authorizations and limits to coverage in order to ensure proper distribution of A/R funds between payers and resident balances.
  • Monitor census from various forms of information daily and monthly in order to complete accurate and timely billing.
  • Submit claims/invoices in accordance with departmental deadlines.
  • Track and submit all unbilled claims by reviewing remittance advices, EOBs
  • Apply electronic and manual payments daily in order to maintain current A/R balances.
  • Follow HIPAA guidelines in handling patient information while providing support to department supervisor by engaging in multiple projects and assignments simultaneously.
  • Maintain collections at 99% or greater annually.
  • Ensure successful and accurate completion daily, weekly and monthly billing cycles.
  • Evaluate and prioritize daily work to minimize the risk of bad debt to meet departmental goal for applicable payers.
  • Meeting Billing Division goal for customer satisfaction scores annually.

Benefits

  • Comprehensive Healthcare: Enjoy medical, dental, wellbeing, and vision benefits. Touchstone has a health allowance which covers the team member only medical!
  • Financial Well-being: 401(k) matching, and access to your earned money before payday through OnShift Wallet.
  • Time Off: Paid Time Off, Bereavement Pay, and Jury Duty Pay to support your work-life balance.
  • Career Development: Tuition Grant Program and Employee Referral Program.
  • Peace of Mind: Life and Supplemental Insurance, legal benefits, and will preparation services.
  • Spiritual Support: Access to a Team Chaplain for spiritual guidance and support.
  • Join us and experience a benefits package designed to enhance your well-being and support your professional and personal growth.

Required profile

Experience

Level of experience: Mid-level (2-5 years)
Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Analytical Thinking
  • Time Management
  • Verbal Communication Skills

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