Garden Spot Communities
Long-Term Care Medical Biller
Garden Spot Communities, New Holland, Pennsylvania, United States, 17557
Long-Term Care Medical Biller
Full Time | Days
**Pay Rates Starting at $22/hr**
Garden Spot Village,
located in New Holland, PA, is a Retirement Community offering innovative options for residential living, and also wellness and healthcare services. Job Title:
Long-Term Care Medical Biller Status:
Full Time Schedule:
8am - 4pm with flexible hours Salary Range:
Starting at $22 per hour What does Garden Spot
Communities offer employees? Here are just an example of some of the benefits we offer:
Pet Insurance Medical, Dental, Vision Coverage First time homeowners program Campus perks such as access to the new fitness center, salons, meal discounts and more!
What will I do in this role with Garden Spot? Account Receivables and Collections: Monitor and manage the entire revenue cycle, ensuring timely processing and follow up with insurance carriers on unpaid or denied claims, and resolve discrepancies, disputes, or issues. Process payments, reconcile accounts; apply adjustments, write-offs, and refunds when necessary Billing & Coding Compliance: Ensure proper coding of services using ICD-10, CPT, and HCPCS codes to maximize reimbursement and minimize denials. Apply appropriate modifiers, diagnoses, and procedures for all claims. Stay updated on changes in billing regulations, coding updates, and insurance company guidelines. Maintain compliance with federal and state regulations, including HIPAA. Claim Processing & Submission: Review and verify patient demographic and insurance information before billing to prevent errors and claim rejections. Enter and post monthly ancillaries. Prepare, review, accurately process, and submit institutional claims (UB-04) for long-term care services, including skilled nursing, rehabilitation, and other related services in a timely fashion for Medicaid, Medicare, Advantage Plans ensuring timely filing, compliance with payer guidelines and contractual obligations. Collaboration & Support: Collaborate with admissions, billing, clinical and administrative teams to ensure proper documentation and coding of services provided. Provide support during internal audits, assist with documentation requests, and assist in reconciling discrepancies in revenue reporting. Customer Service: Respond to inquiries from residents, families, and insurance providers regarding billing and payment issues. Provide clear, timely, and professional communication with residents regarding their billing inquiries and balances. Documentation & Record-Keeping: Maintain detailed and accurate records of all billing activities and communication with insurance providers and patients. Meet monthly with supervisor for A/R review What do I need for this role with Garden Spot? High school diploma or equivalent required (Associate's or bachelor's preferred). Minimum of 2+ years of experience in medical billing, specifically within long-term care settings (skilled nursing facilities, rehabilitation centers, etc.). Experience in Medicaid, Medicare, and private insurance billing is preferred. Knowledge of UB-04 billing, ICD-10, CPT, HCPCS codes, payer guidelines for Medicare, Medicaid, and commercial insurance. Proficiency in medical billing software and electronic health record (EHR) systems (e.g., PointClickCare, MatrixCare, or similar). Understanding of Medicare and Medicaid regulations, long-term care reimbursement methods, and payer-specific billing requirements. Excellent analytical and organizational skills. Strong communication skills, both written and verbal, to work effectively with residents, insurance carriers, and healthcare teams. Preferred experience working in a multi-facility An understanding of and willingness to live out our mission and values, providing compassionate person-centered care to all residents How
is Garden Spot unique? Garden Spot Communities is a nonprofit organization with locations in New Holland, Akron, and Zieglerville, PA, offering healing and retirement living at its best! We live out our mission daily: Inspired by the life of Jesus, we cultivate vibrant community for purposeful living. We prioritize our values: Community, Excellence, Service, Stewardship, Innovation, and Integrity. We facilitate abundant opportunities for residents to live with purpose in community. We are committed to person-centered care: residents' needs and desires are taken into account first We follow a guiding principle: Be Kind. Do Good. Show Love. We encourage and equip our team to work hard, have fun, and make a difference! Before completing an application, please review The Garden Spot Experience
to learn more about who we are, what we do and how we do it! EOE
located in New Holland, PA, is a Retirement Community offering innovative options for residential living, and also wellness and healthcare services. Job Title:
Long-Term Care Medical Biller Status:
Full Time Schedule:
8am - 4pm with flexible hours Salary Range:
Starting at $22 per hour What does Garden Spot
Communities offer employees? Here are just an example of some of the benefits we offer:
Pet Insurance Medical, Dental, Vision Coverage First time homeowners program Campus perks such as access to the new fitness center, salons, meal discounts and more!
What will I do in this role with Garden Spot? Account Receivables and Collections: Monitor and manage the entire revenue cycle, ensuring timely processing and follow up with insurance carriers on unpaid or denied claims, and resolve discrepancies, disputes, or issues. Process payments, reconcile accounts; apply adjustments, write-offs, and refunds when necessary Billing & Coding Compliance: Ensure proper coding of services using ICD-10, CPT, and HCPCS codes to maximize reimbursement and minimize denials. Apply appropriate modifiers, diagnoses, and procedures for all claims. Stay updated on changes in billing regulations, coding updates, and insurance company guidelines. Maintain compliance with federal and state regulations, including HIPAA. Claim Processing & Submission: Review and verify patient demographic and insurance information before billing to prevent errors and claim rejections. Enter and post monthly ancillaries. Prepare, review, accurately process, and submit institutional claims (UB-04) for long-term care services, including skilled nursing, rehabilitation, and other related services in a timely fashion for Medicaid, Medicare, Advantage Plans ensuring timely filing, compliance with payer guidelines and contractual obligations. Collaboration & Support: Collaborate with admissions, billing, clinical and administrative teams to ensure proper documentation and coding of services provided. Provide support during internal audits, assist with documentation requests, and assist in reconciling discrepancies in revenue reporting. Customer Service: Respond to inquiries from residents, families, and insurance providers regarding billing and payment issues. Provide clear, timely, and professional communication with residents regarding their billing inquiries and balances. Documentation & Record-Keeping: Maintain detailed and accurate records of all billing activities and communication with insurance providers and patients. Meet monthly with supervisor for A/R review What do I need for this role with Garden Spot? High school diploma or equivalent required (Associate's or bachelor's preferred). Minimum of 2+ years of experience in medical billing, specifically within long-term care settings (skilled nursing facilities, rehabilitation centers, etc.). Experience in Medicaid, Medicare, and private insurance billing is preferred. Knowledge of UB-04 billing, ICD-10, CPT, HCPCS codes, payer guidelines for Medicare, Medicaid, and commercial insurance. Proficiency in medical billing software and electronic health record (EHR) systems (e.g., PointClickCare, MatrixCare, or similar). Understanding of Medicare and Medicaid regulations, long-term care reimbursement methods, and payer-specific billing requirements. Excellent analytical and organizational skills. Strong communication skills, both written and verbal, to work effectively with residents, insurance carriers, and healthcare teams. Preferred experience working in a multi-facility An understanding of and willingness to live out our mission and values, providing compassionate person-centered care to all residents How
is Garden Spot unique? Garden Spot Communities is a nonprofit organization with locations in New Holland, Akron, and Zieglerville, PA, offering healing and retirement living at its best! We live out our mission daily: Inspired by the life of Jesus, we cultivate vibrant community for purposeful living. We prioritize our values: Community, Excellence, Service, Stewardship, Innovation, and Integrity. We facilitate abundant opportunities for residents to live with purpose in community. We are committed to person-centered care: residents' needs and desires are taken into account first We follow a guiding principle: Be Kind. Do Good. Show Love. We encourage and equip our team to work hard, have fun, and make a difference! Before completing an application, please review The Garden Spot Experience
to learn more about who we are, what we do and how we do it! EOE