Billing Specialist

• Lead, mentor, and supervise a team of billing specialists and coordinators responsible for the billing performance of assigned facilities.
• Oversee day-to-day billing operations, ensuring the team submits claims in a timely and accurate manner.
• Provide training, development, and performance feedback to the billing team to ensure adherence to best practices and regulatory compliance.
• Set performance goals for the team, monitor progress, and ensure key metrics such as days in accounts receivable (AR) and collection rates are met.
• Serve as a point of escalation point of contact for a portfolio of SNF customers, ensuring their billing needs are met and addressing any concerns or issues related to billing or revenue cycle management.
• Collaborate with clients to ensure they understand their billing performance, and work with them to resolve any discrepancies or challenges.
• Oversee the submission of claims for the SNF portfolio, ensuring accuracy and compliance with Medicare, Medicaid, and other payer requirements.
• Ensure timely follow-up on unpaid claims, manage denials, and coordinate with insurance providers to resolve disputes.
• Implement best practices in billing operations, continually seeking opportunities to improve the efficiency and effectiveness of billing processes for customers.
• Work closely with executive leadership to develop and refine policies and procedures related to billing and revenue cycle management.
• Ensure that all billing activities are compliant with state and federal regulations, including HIPAA, Medicare, Medicaid, and other third-party payer rules.
• Stay updated with changes in reimbursement models, billing regulations, and industry best practices.
• Conduct regular audits of the billing processes for the SNF portfolio to ensure accuracy and compliance.
• Prepare and present reports on billing performance, revenue collection, and other key financial metrics to senior management and SNF customers.
• Build and maintain strong relationships with clients, acting as a trusted advisor on billing and revenue cycle matters.
• Provide regular communication with customers regarding billing issues, financial performance, and resolution of any disputes.
• Work to proactively resolve issues before they escalate, providing clients with clear communication on their billing status.
• Other tasks and projects as needed and assigned.

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