Billing Specialist II - Omnia Healthcare Group

Billing Specialist II 

Omnia Healthcare Group is seeking a Billing Specialist II to join their team! The Billing Specialist II will be conducting a variety of billing tasks for Medicaid/Managed Cared for their assigned facilities.As well as communicate with insurance providers to complete Medicaid ICO billing on a monthly basis. This is a temporary role with an expected end date of January 2025

Billing Specialist II Duties and Responsibilities: 

• Review PCC Action Summary report on the following census transactions: Actual/Readmission, Discharged/Expired, Transfer Out/In and payer changes. 

• Review payer tree and insurance information prior to billing and coordinate with facility on any questions with regards to resident’s insurance plans. 

• Review resident’s authorization from Managed Care/Managed Care providers as applicable and coordinate with facility any issues with the authorization and ensure insurance authorization are saved in PCC-Documents.  

• Complete Medicaid/Managed Care Pre-billing checklist prior to generating billing and ensure claims are checked prior to transmission. 

• Collaborate with AR Manager/ Team Lead on submission of appeals and resolution of unpaid claims in a timely manner.  

• Partner with AR team members, facility, vendor, and other third party to ensure all documentation needed for billing and collections are achieved. 

• Review Medicaid Pending logs received from facility for Medicaid long term care approvals and generate/transmit claims.  

• Assist in entering the IL billing system for Co-insurance A (code 72) for accounts that did not cross over and completion of IL Medicaid Co-insurance A write-offs with supporting documentation for cost report. 

• Submission of monthly aging with comments on outstanding accounts to AR Manger, Team Lead, VP of Revenue Cycle. 

• Analyze accounts with credits or debits after payments are posted and review EOBs to determine the next steps. 

• Process, submit write-offs request with complete supporting documentation and post after approval.  

• All other duties as assigned. 

Billing Specialist IIQualifications and Skills: 

• Strong attention to detail, accuracy, and quality. 

• Ability to communicate professionally, both in writing and in-person. 

• Ability to work independently and with others. 

Billing Specialist II Education and Experience: 

• High School diploma or equivalent 

• At least 2 years of billing experience in healthcare industry, skilled nursing facility preferred.  

• Knowledge of Microsoft Outlook, Excel, and Word. 

Omnia Benefits: 

• 401(K) with company match 

• Blue cross Blue Shield Medical Insurance 

• Dental, Vision, and Disability Insurance 

• Paid Time Off 

Apply to join a growing team today! 

Omnia Healthcare Group is the home office that supports over 30 skilled nursing facilities and rehabilitation centers. Omnia is dedicated to cultivating a work environment that is supportive, inclusive, and empowering. Our goal is to equip our employees with the necessary resources, training, and knowledge they deserve. 

By nurturing a culture of respect, collaboration, and continuous growth, we enable our healthcare professionals to deliver the highest quality care. Together, we strive for excellence, ensuring that our team is motivated, inspired, and equipped to provide compassionate and personalized healthcare services to our community. 

Omnia Healthcare Group are Equal Opportunity Employers and do not discriminate based on any protected right such as race, color, nationality, gender, age, disability or any protected applicable right under the National Labor Relations Act.