The Wesley Community
Overview
Billing Specialist for Skilled Nursing Facility – The Wesley Community. Full Time | Days | 8am - 4:30pm We are seeking an experienced Accounts Receivable professional who loves what they do. This position is integral to the financial health of our organization and requires a highly organized individual with a commitment to accuracy in a structured in-office environment that supports residents and families. Core values guiding The Wesley Community are CARES: Compassion, Accountability, Respect, Excellence, and Spirit. It\'s more than a job: it\'s caring that starts in the heart. Responsibilities
Responsible for timely and accurate insurance claim submissions for all payer types. Monitor and maintain aging reports for outstanding claims. Respond to and resolve insurance claims denials, rejections, and underpayments in a timely manner. Ensure prompt follow-up and appeal submissions when necessary to minimize delays in reimbursement. Process Private Pay statements and promptly follow up on delinquent balances. Communicate effectively with insurance representatives, residents, families and team members to resolve billing-related concerns. Ensure compliance with Medicare/Medicaid billing requirements, regulatory standards, and facility-specific protocols. Qualifications
Proven experience as a Billing Specialist, preferably in a skilled nursing or long-term care setting. Extensive knowledge of billing procedures for all payer types including Medicare, NY Medicaid, HMO and Private insurance. Experience with Private Pay collections. Experience with Healthcare billing software Point Click Care (PCC) preferred. Experience with insurance clearinghouses such as Waystar preferred and with payer portals including EPACES, Connex and Omnipro. Proficient computer skills including Word, Excel, and Outlook. Ability to multi-task between projects, payer types and deadlines. Strong written and verbal communication skills. Benefits
Competitive pay + incentive compensation A full benefits package Paid vacation, sick, and personal time Paid Holidays Flexible scheduling options NEW Weekly Pay Periods and Daily Pay Option A 401K retirement plan Tuition assistance and nursing scholarships Opportunities for growth and development A caring and supportive teamwork environment Perks such as self-care support and on-site prescription fills A fun work environment including theme weeks, recognition events, and opportunities for staff involvement About The Wesley Community
For over 50 years, The Wesley Community has provided services and programs with a commitment to compassion, caring and excellence. Our distinctive continuum of care offers a balance of community living and care that supports quality of life at every stage of life. We are a mission-driven, not-for-profit organization that puts people first. If you are ready to embark on a rewarding career that truly makes a difference, we invite you to apply for the Billing Specialist position at The Wesley Community. We look forward to meeting you! Salary: $20 - $22.52 per hour
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Billing Specialist for Skilled Nursing Facility – The Wesley Community. Full Time | Days | 8am - 4:30pm We are seeking an experienced Accounts Receivable professional who loves what they do. This position is integral to the financial health of our organization and requires a highly organized individual with a commitment to accuracy in a structured in-office environment that supports residents and families. Core values guiding The Wesley Community are CARES: Compassion, Accountability, Respect, Excellence, and Spirit. It\'s more than a job: it\'s caring that starts in the heart. Responsibilities
Responsible for timely and accurate insurance claim submissions for all payer types. Monitor and maintain aging reports for outstanding claims. Respond to and resolve insurance claims denials, rejections, and underpayments in a timely manner. Ensure prompt follow-up and appeal submissions when necessary to minimize delays in reimbursement. Process Private Pay statements and promptly follow up on delinquent balances. Communicate effectively with insurance representatives, residents, families and team members to resolve billing-related concerns. Ensure compliance with Medicare/Medicaid billing requirements, regulatory standards, and facility-specific protocols. Qualifications
Proven experience as a Billing Specialist, preferably in a skilled nursing or long-term care setting. Extensive knowledge of billing procedures for all payer types including Medicare, NY Medicaid, HMO and Private insurance. Experience with Private Pay collections. Experience with Healthcare billing software Point Click Care (PCC) preferred. Experience with insurance clearinghouses such as Waystar preferred and with payer portals including EPACES, Connex and Omnipro. Proficient computer skills including Word, Excel, and Outlook. Ability to multi-task between projects, payer types and deadlines. Strong written and verbal communication skills. Benefits
Competitive pay + incentive compensation A full benefits package Paid vacation, sick, and personal time Paid Holidays Flexible scheduling options NEW Weekly Pay Periods and Daily Pay Option A 401K retirement plan Tuition assistance and nursing scholarships Opportunities for growth and development A caring and supportive teamwork environment Perks such as self-care support and on-site prescription fills A fun work environment including theme weeks, recognition events, and opportunities for staff involvement About The Wesley Community
For over 50 years, The Wesley Community has provided services and programs with a commitment to compassion, caring and excellence. Our distinctive continuum of care offers a balance of community living and care that supports quality of life at every stage of life. We are a mission-driven, not-for-profit organization that puts people first. If you are ready to embark on a rewarding career that truly makes a difference, we invite you to apply for the Billing Specialist position at The Wesley Community. We look forward to meeting you! Salary: $20 - $22.52 per hour
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