Skilled Nursing Facility - AR Specialist

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Requirements:

• Minimum 2 years in AR or healthcare billing, preferably in skilled nursing or long-term care.
• Knowledge of Medicare, Medicaid, and private insurance billing.
• Strong attention to detail.
• Proficiency in MS Excel.
• Excellent communication skills.

Responsibilities:

• Follow-up with payers to ensure timely resolution of all outstanding claims via phone or websites.
• Meets and maintains daily productivity/quality standards established in departmental policies.
• Utilizes the workflow system, client host system, and other available tools to collect payments and resolve accounts.
• Adheres to the policies and procedures established for the client/team.
• Knowledge of timely filing deadlines for each designated payer.
• Performs research regarding payer-specific billing guidelines as needed.
• Ability to proactively analyze, identify, and trend claims issues to reduce denials.
• Communicate with management about any issues and trends identified.
• Initiate appeals when necessary.
• Understanding of under or over-payments and credit balance processes.
• Use, protect, and disclose patients protected health information (PHI) only in accordance with HIPAA standards.