Position Summary

The Billing Specialist is responsible for performing a variety of complex billing and collections activities related to patient accounts within a Skilled Nursing Facility (SNF) environment. This role audits accounts, ensures accurate billing, manages collections, and collaborates with patients and third-party payors to resolve account balances. This is a remote position with periodic in-office requirements as needed for meetings.

Key Responsibilities

· Audit, process, and maintain patient billing accounts with a high degree of accuracy for three facilities.

· Generate and send billing statements; investigate and resolve account discrepancies

· Monitor and report on delinquent accounts; initiate and manage collection processes

· Communicate with Medicare, Medicaid, HMOs, and other third-party payors to ensure timely reimbursement

· Work directly with patients via phone and, when applicable, virtual channels to address billing questions and collect outstanding balances

· Establish payment plans and prepare accounts for assignment as needed

· Maintain accurate documentation and reporting related to billing and collections activities

· Handle incoming calls related to billing inquiries in a professional and timely manner

Required Qualifications

· Minimum of 5+ years of verifiable experience in Skilled Nursing Facility (SNF) billing

· Strong knowledge of Medicare, Medicaid, and HMO billing processes

· Proven ability to manage patient account collections and resolve billing issues

· Excellent communication skills, with the ability to work directly with patients regarding sensitive financial matters

· Ability to work independently in a remote environment

Preferred Qualifications (Nice to Have)

· Experience handling high-volume billing and collections

· Billing and coding certification