The Private Pay Specialist manages billing and accounts receivable for residents covered by private pay care plans within a Skilled Nursing Facility. Responsibilities include submitting accurate claims, verifying authorizations, reconciling payments, managing accounts receivable, addressing billing inquiries, preparing financial reports, coordinating with admissions and finance departments, ensuring compliance with billing regulations, maintaining documentation, and providing customer service to residents and managed care organizations.
Work conditions involve office and nursing service areas, frequent interruptions, interaction with residents and staff under various conditions, possible exposure to infectious diseases, hazardous chemicals, and emergency situations.
Education requires maintaining necessary certifications or licenses. The role demands teamwork, independent decision-making, effective communication, and the ability to handle the mental and physical demands of the position, including lifting up to 50 pounds and assisting in emergency evacuations.
High school diploma or equivalent; additional education in Finance, Accounting, or related field is a plus. Experience in billing, accounts receivable, preferably in healthcare with private pay care billing. Knowledge of private pay care billing processes, claims submission, and accounts receivable management. Strong attention to detail and accuracy. Effective communication and interpersonal skills. Proficiency with billing software and Microsoft Excel. Ability to work independently and as a team member. Capable of handling mental and physical stress, lifting up to 50 pounds, and exposure to healthcare environment hazards. Must maintain any required certifications or licenses. Ability to relate to residents, families, and healthcare personnel tactfully.
Location
Alabama, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago