Senior Billing Specialist at Illuminus

Watertown, Wisconsin, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

30.75

Posted On

21 Mar, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Billing Cycle Oversight, Medicare Claims, Medicaid Claims, Third-Party Insurance Claims, Claim Discrepancy Resolution, Claim Appeals, Clean Claim Rate Improvement, Documentation Accuracy, Escalated Inquiry Handling, Internal Audits, Compliance, Mentoring, Accounts Receivable Procedures, Payer Rule Updates, Word Processing, Spreadsheet Knowledge

Industry

Hospitals and Health Care

Description

Description Illuminus is seeking a highly motivated individual with excellent collaboration and organizational skills to join our team as a Senior Billing Specialist In this role, you will responsible for overseeing the complete billing cycle including Medicare, Medicaid, and third-party insurance claims. Candidates with experience nursing home/SNF billing preferred. Summary Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Ensures timely and accurate billing. Monitors, analyzes and resolves claim discrepancies. Performs follow-ups and appeals as necessary. Develops strategies to improve clean claim rate. Coordinates with admissions, medical records and clinical teams to ensure accurate documentation and authorization. Serves as a point of contact for escalated billing inquiries and complex issues. Assists in internal audits to ensure compliance with billing policies. Mentors Billing Specialists to maintain quality and efficiency in billing processes. Leads Aging calls and keeps Finance department management appraised of expected payment issues. Remains current on changes to payer rules and attends billing seminars as necessary. Works with other departments and functions on following Accounts Receivable procedures and maintaining adequate controls which includes training new hires or groups of employees that may join the organization outside of the function. Performs other duties, as assigned. Requirements Two-year associate degree. Experience with nursing home billing. Four to five years accounts receivable experience. Must have experience in nursing home billing. Additionally, at least two years in medical billing, medical insurance verification, managed care and/or patient registration. Knowledge of health insurance plans including Medicare, Medicaid and Commercial carriers. Previous experience with Point Click Care and medical terminology a plus. Word processing and spreadsheet knowledge. Commitment to quality outcomes and services for all individuals. Excellent communications and human relation skills. Ability to relate well to all individuals. Ability to maintain and protect the confidentiality of information. Ability to exercise independent judgment and make sound decisions. Ability to be flexible with daily routines and tolerant of interruptions. Utilize creativity and initiative to continuously improve processes and procedures through the use of technology and process improvement techniques and adapt to change. Benefits Employee Referral Bonus Program. Educational Advancement/Training Opportunities (Wound care, IV administration etc., provided by our Illuminus Institute or Other External Qualifying Educational institution) Paid Time Off and Holidays acquired from day one of hire. Health (Free Primary Care), Dental, & Vision Insurance Flexible Spending Account (Medical and Dependent Care) 401(k) with Company Match Financial and Retirement Planning at No Charge Basic Life Insurance & AD&D - Company Paid Short Term Disability - Company Paid Voluntary Ancillary Coverage Employee Assistance Program Benefits vary by full-time, part-time, and PRN status. If you are a highly motivated individual with a passion for people and a desire to make a difference, we encourage you to apply for this exciting opportunity. We offer competitive compensation, benefits, and professional development opportunities. We invite you to apply today or visit our website for more information. We'd look forward to meeting you! Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest with skill and compassion. We own or manage over a dozen communities in Wisconsin and beyond, offering independent senior housing, assisted living and memory care, skilled nursing and rehabilitation, low-income senior housing, home health and hospice services via Commonheart, management support and consulting. The people of Illuminus are not just our colleagues, our employees, our residents—they are our parents, our grandparents, our partners, ourselves. We serve others with gratitude, dignity, hope and purpose. We believe that the right care can and will transform us all.

Responsibilities

This role involves overseeing the complete billing cycle, including Medicare, Medicaid, and third-party insurance claims, while ensuring timely and accurate billing and resolving claim discrepancies. The specialist will also coordinate documentation, serve as a point of contact for complex billing issues, mentor staff, and stay current on payer rule changes.