Resolution Billing Specialist Jobs

Company Description:

Richter Healthcare has an opening for a REMOTE Resolution Billing Specialist due to our increased clientele!. ?We offer innovative and customized specialized services to the Long-Term industry. Richter is a privately owned and operated company that has been specializing in RCM accounting and clinical/financial consulting for our clients for over 24 years! Richter Healthcare is currently seeking a Resolution Billing Specialist specialized in PCC and LTC to join us in providing care, innovations, and results to every client experience the company is known for its trusted professionals that provide customized solutions for clinical, financial, accounting, implementation and revenue cycle needs.

Job Responsibilities

The role’s primary responsibility is to be a part of the Revenue Cycle process team. The Billing Specialist facilitates the Richter policies and procedures to ensure accurate and timely billing of the collection process of client revenue.

Specific responsibilities include but are not limited to the following:

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

Qualifications

• Proficiency in Microsoft Office and databases; experience with PointClickCare® and RCM systems is a plus
• Excellent communication skills, both written and verbal
• Ability to multitask, prioritize workload and meet deadlines
• Bachelor's degree in Billing or related field, or equivalent experience
• In-depth knowledge of Medicare and Medicaid billing and collections processes, including appeals and claim resolution
• Strong analytical and problem-solving skills, with the ability to identify areas of improvement and implement effective solutions
• Strong attention to detail and accuracy
• Minimum of 3 years of experience in billing and collection management, preferably in healthcare