JOB SUMMARY

The Nursing Home Billing Specialist is responsible for analysis of revenue cycle functions for the Nursing Home including but not limited to registration, billing, insurance/customer service collections and payment posting. The Nursing Home Billing Specialist must understand all payer and regulatory requirements to resolve accounts. Works under the general supervision of Manager, Revenue Cycle.

• Maintain the census within the revenue cycle system to ensure billing accuracy.
• Analyze system reports to trend and resolve outstanding Accounts Receivables.
• Assist management with detailed analysis of denial trends and provide recommendations to enhance processes with the revenue cycle automation.
• Collaborate with admission coordinator and clinical departments to ensure financial clearance and increase revenue.
• Supports patients and/or power of attorney with transition to long term care by gathering documentation required for insurance coverage.
• Maintain system edits to ensure accuracy of billing and patient statements.
• Organize department documents through electronic scanning and system documentation.
• Inform department staff and management of inaccuracies in system to ensure timely and accuracy of all department functions.
• Maintain and reconcile cash on hand for resident funds and facility petty cash.
• Prepare Advance Beneficiary Notices (ABN) and Notice of Medicare Non-Covered (NOMNC) to satisfy regulatory requirements set by CMS.
• Comply with organization policies.
• Prepare system for month end closing, reporting and cash reconciliation.
• Perform related duties as assigned.