Nursing Home Billing Specialist

The Teresian House is currently hiring. This opportunity is a Full Time Day position, working 8 am-4 pm! Thank you for considering Teresian House in your choice for employment!

The Nursing Home Billing Specialist is responsible for :

• Timely insurance verification of all referrals for potential admission to the facility.
• Ensuring accurate and timely billing of all services rendered to residents in compliance with NYS Medicaid, Medicare, Mafae Care Organizations (MCO's) and private insurance.
• Preparing and submitting claims, resolving billing issues, managing accounts receivable, and working with families and third-party payers to ensure proper reimbursement.
• Verifying resident insurance eligibility and insurance coverage using Availity, Epaces and other electronic systems daily.
• Preparing and submitting timely billing for Medicare, MCO's, Medicaid and private insurers using electronic and payer formats. Monitor and manage outstanding balances and follow-up on unpaid claims.
• Communicating with families, residents and insurance companies regarding account status and unpaid claims.
• Maintaining up to date knowledge of Medicare, MCO and NYS Medicaid regulations and billing practices.
• Working with other departments to ensure accurate census date and payer sources are maintained.
• Assisting with audits and providing requested documentation for compliance and financial reviews.
• Maintain accurate and confidential billing records in accordance with HIPAA regulations.

Qualifications :

Preferred Skills :

Do you want to join a team committed to enhancing the lives of our residents by providing optimal service in a homelike atmosphere? We invite you to join our team and reap the benefits of becoming part of the Teresian House family :

Our mission is evident in the daily interactions our staff have with residents and their families. At Teresian House , we are truly "Where the spirit of love and dedication lives..."