Billing Specialist - Ticknor Enterprises

Job Title: Corporate Biller

Position Overview: We are seeking a dedicated and detail-oriented Accounts Receivable Specialist to join our team. This role is pivotal in ensuring the accuracy and efficiency of our billing and collections processes. The ideal candidate will have a strong background in skilled nursing facility billing and a thorough understanding of accounts receivable policies and procedures. Experience with Texas Medicaid and multi-facility billing as well as PointClickCare and Inovalon is a significant plus.

Key Responsibilities:

• Prepare and process inpatient and outpatient claims for assigned payers and/or facilities. 
• Ensure accurate and timely submission of claims to insurance providers.
• Contact payers regarding unpaid or denied claims and conduct regular follow-ups on payments and requests for additional information.  Performs appeals and redeterminations as needed.
• Prepare refunds, write-offs and adjustments and forwards to supervisor for review. 
• Review and verify patient billing information in EMR for accuracy and completeness to minimize coding errors and billing turnaround times.
• Prepares bank deposits as needed and documents any payment issues. 
• Stay updated with changes in billing regulations and Texas Medicaid policies.
• Review, analyze and report on outstanding aging balances to ensure that the revenue cycle is effective.
• Assist Director of Finance with coordinating objectives and initiatives of Gemini’s revenue cycle activities.
• Performs other duties as assigned.

Qualifications:

• Minimum of 3+ years of experience in skilled nursing billing or other inpatient setting.
• In-depth knowledge of Texas Medicaid billing processes and regulations.
• Proficiency in billing software and electronic medical records (EMR) systems.
• Excellent attention to detail and organizational skills.
• Resourceful, dependable and accountable.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team in a fast-paced environment.

What We Offer:

• Competitive salary and benefits package.
• A supportive and collaborative work environment.
• Opportunities for professional development and growth.