Corporate - Senior Third Party Billing Specialist (Remote)

Overview

A healthcare organization is seeking a Senior Third Party Billing Specialist to support the financial operations related to skilled nursing facilities. This remote position offers a salary range of $75,000 to $85,000 DOE and includes benefits such as Medical, Vision, Dental, 401(k) with instant matching, generous PTO, and more.

Responsibilities

• Manage full cycle accounts receivable for private and governmental contracts (Federal, State, and local) related to skilled nursing facilities, including Medicare, HMOs, coinsurance, and private pay.
• Ensure accurate and timely billing submissions in compliance with policies and procedures.
• Assist with private pay billing for other levels of care as needed.
• Verify accuracy of ancillary charges before bill submission.
• Participate in accounts receivable aging reviews with facility staff and management.
• Support collection procedures for private and insurance balances.
• Analyze legacy client accounts to assess collectability and collaborate on collection efforts.
• Reconcile accounts receivable with the general ledger and post cash receipts appropriately.
• Coordinate with management and facility staff to ensure billing records accuracy.
• Perform billing and collections reconciliation, identify unbilled or rejected services, and rebill accurately.
• Assist facilities with government audits, including Medicare RAC audits and appeals.
• Maintain professional communication and respectful relationships with coworkers, clients, and others.
• Adhere to organizational values, standards, legal requirements, and confidentiality policies.
• Enhance professional knowledge through educational workshops, publications, and professional networks.
• Perform other duties as assigned.

Requirements

• Associate's degree in a related field or equivalent combination of education and experience.
• Strong knowledge of the healthcare industry.
• Experience with Medi-Cal (California specific) billing.
• Ability to occasionally travel to sites in Saratoga and Napa, CA.
• Valid driver's license for occasional travel.
• Experience with Medicare, HMO, and other insurance billing.
• Minimum of 10 years working with Medicaid, Medicare, insurance claims, or in claims processing.
• Effective written and oral communication skills, including the ability to explain complex financial information.
• Strong troubleshooting and critical thinking abilities.
• Proficiency with Microsoft Office Suite, including Excel, and billing software.
• Experience with Workday is strongly preferred.

Location

This is a remote position with occasional travel to facilities located in Saratoga and Napa, California.

Compensation & Benefits

• Salary: $75,000 to $85,000 DOE
• Medical, Vision, Dental insurance
• 401(k) plan with instant matching
• Generous paid time off
• Additional benefits as offered by the organization