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Illuminus · 18 hours ago

Senior Billing Specialist

Watertown, WI

Full-time

Onsite

Mid, Senior Level

4+ years exp

Illuminus is a faith-based, not-for-profit senior living management company dedicated to serving older adults and families throughout the Midwest. In this role, you will oversee the complete billing cycle including Medicare, Medicaid, and third-party insurance claims, while ensuring timely and accurate billing and coordinating with various teams for documentation and authorization.

Assisted LivingNon ProfitSocial Impact

Responsibilities

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

Responsible for on-call and performs other duties, as assigned

Qualification

Nursing home billingMedical billingHealth insurance knowledgePoint Click CareAccounts receivable experienceHuman relation skillsIndependent judgmentCommunication skillsConfidentialityFlexibilityCreativity

Required

Two-year associate degree

Experience with nursing home billing

Four to five years accounts receivable experience

Must have experience in nursing home billing

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

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

Preferred

Previous experience with Point Click Care and medical terminology a plus

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 (low to no cost), 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.