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Billing Specialist

Position:              Billing Specialist

Reports to:         Revenue Cycle Manager

Status:                  Full-time: Non Exempt

The Billing Specialist is part of the Revenue Cycle process team. He/she facilitates the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue.

Richter Healthcare Consultants’ culture calls for superior customer service, great working relationships with coworkers and a commitment to team problem solving and solutions.

Specific responsibilities include but are not limited to the following:

  • Data Entry
  • Insurance verification, claim submission, follow up, denial management and remit review
  • Respond to Patient Billing Inquiries
    • Handle daily billing calls on behalf of assigned clients/accounts
    • Follow up on billing inquiries made after hours
    • Follow up on billing concerns from residents, family and staff
    • Complete tracking worksheets
  • Perform Billing and Collection Functions
    • Complete billing and collection efforts on behalf of all payer types
    • Perform Private or Self Pay collection procedures
    • Perform patient account analysis
    • Complete basic bookkeeping functions (census or charge entry, cash application, adjustment processing)
    • Generate and submit billing for all pay sources timely and accurately
    • Document billing and collection activity in accordance with Richter Healthcare Consultants policy and procedure
    • Work effectively within client and/or Richter Healthcare Consultants billing systems
    • Effectively communicate and respond to inquiries by client staff, co-workers, and other party representatives
    • Analyze and problem-solve when faced with obstacles
    • Effectively prioritize and manage time to accomplish project goals and expectations
    • Communicate status of projects to team leader/manager on a daily or weekly basis depending on project requirements
  • Perform Accounts Receivable Cleanup
    • Set-up clean-up spreadsheet (Richter template)
    • Prioritize accounts by age and amount
    • Analyze each account to verify accuracy of balance
    • Resubmit and/or follow-up on outstanding accounts
    • Perform all denial management and collections procedures to obtain payment
    • Document all activities on client AR thoroughly in billing software
    • Report project status to client weekly via reports, documentation in software or AR calls as directed
    • Performs other duties as assigned

Job Requirements:

  • High School Diploma, Associates Degree preferred
  • 3 – 5 years of professional billing experience, preferably in a healthcare environment
  • Must possess an extensive knowledge of Medicare and Medicaid requirements, procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers
  • Must have the ability to make independent decisions
  • Must possess the ability to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
  • Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices
  • Must possess a high degree of attention to detail and best practice as it relates to client data
  • Must possess basic computer literacy skills, including Microsoft Excel and Word

Why should you choose Richter?

  • We offer a competitive starting salary based on experience with excellent benefits including: Medical, Dental, Vision, 401k, Paid Vacation, Sick Leave, Paid Holidays and more!
  • We are an industry leader in the post-acute care consulting sector including SNF, CCRC, Home Health and Hospice
  • With our continued growth, you will have the opportunity to advance both your skill set and your career journey
  • We promote from within!
  • You will be provided on-going training and opportunities to expand your skill set that will increase your earning potential
  • We offer a team-oriented environment and have created an atmosphere where our employees enjoy coming to work. Our turnover rate is low! A high number of our employees have been with us more than 5 and 10 years

Richter Healthcare Consultants is committed to equal employment opportunity.  We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.

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