Billing Coordinator SNF

Summary:
The Billing Coordinator is responsible for overseeing accounts receivable, billing, and census management for the skilled nursing facility (SNF). This role acts as a key point of contact for residents, families, and insurance companies regarding financial matters, ensuring accuracy, compliance, and professionalism.

Key Responsibilities:

• Assist residents and families with financial inquiries, provide information on available resources, and offer guidance on the financial aspects of Nursing and Long-Term care.
• Assist with the admissions process, including paperwork and contract signing.
• Verify Medicare, Managed Care, Therapy, and supplemental insurance eligibility.
• Verify CCM and Optum.

• Oversee resident billing, answer questions, and address financial issues with empathy and professionalism.
• Review of ancillary charges (meals, salon, etc.) to confirm accuracy.
• Coordinate billing with third-party vendors according to the vendor checklist.
• Oversee and coordinate billing and collections for Private Pay, Co-insurance, Worker’s Comp, Managed Care and Long-Term Care.
• File Long-Term Care Insurance when applicable.
• Work with insurance providers to ensure accurate billing and reimbursement.

• Maintain accurate and organized records of financial documents, patient information, and other necessary documentation.
• Maintain accurate resident census records with daily updates.
• Track Medicare and Managed Care data.
• Ensure compliance with state and federal regulations related to healthcare and nursing home operations.
• Maintain patient privacy and adhere to HIPAA laws and facility policies.

Qualifications for Success:

• Fluent in English with strong written and verbal communication skills.
• Minimum of 2 years of related experience in billing, accounts receivable, or healthcare finance.
• Proficient in Microsoft Excel, Word, and other relevant software systems.
• Experience with Matrix Training (preferred) and familiarity with long-term care software systems (e.g., PointClickCare, NetSolutions).
• Knowledge of Medicare, Medicaid, and Managed Care regulations and reimbursement methodologies.
• Certification in Medical Billing or Coding (e.g., Certified Professional Biller, Certified Medical Reimbursement Specialist) is a plus.
• Familiarity with federal and state regulations specific to skilled nursing facilities.
• Understanding of HIPAA compliance and patient privacy regulations.
• Strong organizational skills with attention to detail and the ability to manage multiple tasks effectively.
• Demonstrated problem-solving and analytical skills for identifying and resolving billing discrepancies.
• Professional appearance, attitude, and performance in interactions with residents, families, insurance providers, and regulatory agencies.
• Empathy and patience when addressing financial matters with residents and their families.
• Ability to work independently and collaboratively in a fast-paced environment.
• Flexibility to adapt to changes in healthcare policies and billing procedures.