Accounts Receivable Billing Specialist

A / R Medical Billing Specialist

We are seeking an experienced Billing Specialist professional who loves what they do! Everything we do at The Wesley Community is guided by our Core Values which form the acronym CARES : COMPASSION, ACCOUNTABILITY, RESPECT, EXCELLENCE, and SPIRIT. It's more than a job : it's caring that starts in the heart.

Primary Job Duties :

Responsible for timely and accurate insurance claim submissions for all payer @types.

Monitor and maintain aging reports for outstanding claims. Respond to and resolve insurance claims denials, rejections, and underpayments in a timely manner. Ensure prompt follow-up and appeal submissions when necessary to minimize delays in reimbursement.

Process Private Pay statements and promptly follow up on delinquent balances.

Communicate effectively with insurance representatives, residents, families, and team members to resolve billing-related concerns.

Ensure compliance with Medicare / Medicaid billing requirements, regulatory standards, and facility specific protocols.

Qualifications :

2+ years experience as a Billing Specialist

2+ years of billing procedures for all payer @types including Medicare, NY Medicaid, HMO and Private insurance

Experience with Private Pay collections

Experience with Healthcare billing software

Experience with Payer Portals

Experience with insurance clearinghouses

Must have proficient computer skills including Word, Excel, and Outlook

Medical billing experience in a long term care environment preferred

Point Click Care (PCC) experience preferred

Experience with EPACES, Connex and / or Omnipro preferred

The Wesley Community strives to have its employees be a part of a culture of excellence and to enjoy their work. Our team is also committed to making sure our employees are rewarded for superior effort and performance and get a chance to have fun as part of their employment experience at The Wesley Community.

We offer competitive and team-focused Employee Benefits (based on employment status eligibility) to include :

Competitive pay

A full benefits package

Paid vacation, sick, and personal time

Paid Holidays

Flexible scheduling options

NEW Weekly Pay Periods and Daily Pay Option

A 401K retirement plan

Tuition assistance and nursing scholarships

Opportunities for growth and development

A caring and supportive team work environment

Perks such as self-care support and on-site prescription fills

A fun work environment including theme weeks, recognition events, and opportunities for staff involvement

About the Wesley Community :

For over 50 years, The Wesley Community has provided services and programs with a commitment to compassion, caring, and excellence. Our distinctive continuum of care offers a unique balance of community living and care giving that ensures quality of life at every stage of life.

We are a mission driven, not-for-profit organization that puts people first. We are proud of our reputation for excellence, innovation, and a personal approach to care and services. We encourage and support our residents in their efforts to achieve their goals, and we treat them respectfully.

If you are ready to embark on a rewarding career that truly makes a difference, we invite you to apply for the Billing Specialist position at Wesley Health Care Center. We look forward to meeting you!