Managed Care/Medicaid Billing Specialist presso None

Managed Care / Medicaid Billing Specialist

Facility: Arbors at Fairlawn

We invite you to apply and be part of a team that truly values your contribution. We offer competitive wages and are committed to fostering a workplace where growth, teamwork, and patient-centered care are at the forefront. At the end of each day, knowing that you’ve made a meaningful impact in the lives of our residents will be your greatest reward. 

Why Choose Arbors? 

• One of Ohio’s Largest Providers of long-term care skilled nursing and short-term rehabilitation services.
• Employee Focus: We foster a positive culture where employees feel valued, trusted, and have opportunities for growth.
• Employee Recognition: Regular acknowledgement and celebration of individual and team achievements.
• Career Development: Opportunities for learning, training, and advancement to help you grow professionally.

Key Benefit Package Options? 

• Medical Benefits: Affordable medical insurance options through Anthem Blue Cross Blue Shield.
• Additional Healthcare Benefits: Dental, vision, and prescription drug insurance options via leading insurance providers.
• Flexible Pay Options: Get paid daily, weekly, or bi-weekly through UKG Wallet.
• Benefits Concierge: Internal company assistance in understanding and utilizing your benefit options.
• Pet Insurance: Three options available
• Education Assistance: Tuition reimbursement and student loan repayment options.
• Retirement Savings with 401K.
• HSA and FSA options
• Unlimited Referral Bonuses.

Start a rewarding and stable career with Arbors today! 

Education and Licensure:

• 3 years of Billing experience in a Long-Term Care/Skilled Nursing Facility setting.
• High School Diploma or equivalent.
• 3-5 years in accounts receivable in a healthcare environment; preferred

Skills and Abilities:

• Knowledge with Managed Care, Medicare, Medicaid, and Coinsurance and follow-up.
• Proficient in relevant computer software, Point Click Care, Excel.
• Prepare, bill, and follow up on Managed Care claims ensuring timely and proper reimbursement.
• Bill and follow up on secondary claims associated with Manage Care primary billing.
• Post all payments for Managed Care timely and properly, moving copay amounts to the proper payer source as needed.
• Thorough understanding of Managed Care, Medicare, and Medicaid in SNF setting
• Thorough understanding of ADRs (Additional Documentation Request) in both Managed Care and Medicare billing
• Maintain up to date knowledge of changes in the healthcare industry that affect SNF billing policies and procedures.
• Take on special projects as needed by management.
• Resolve any discrepancies through research put forth on the Policy & Procedures of the AR department.
• Provide complete and accurate documentation for any Write-Offs proposed by the Medicaid biller.
• Point Click Care system experience is ideal but not required.
• Strong working experience using Microsoft Excel.
• Working knowledge of insurance policies and appeals.
• Other duties as assigned.