Supports the configuration, maintenance, and optimization of billing applications used in skilled nursing operations.
- Configures and maintains billing system settings to support accurate claims processing and reimbursement.
- Analyzes payer requirements and ensures billing applications are configured appropriately.
- Troubleshoots billing and application issues and works with internal teams and vendors to resolve problems.
- Tests system updates, enhancements, and new functionality.
- Maintains documentation related to payer setup, billing rules, and system processes.
- Supports software implementations, upgrades, and user training.
- Monitors regulatory and payer changes and recommends necessary system modifications.
This position plays a key role in ensuring billing systems are configured correctly, compliant with payer requirements, and optimized to support accurate reimbursement.
Requirements & Qualifications
- Skilled nursing facility billing experience or experience configuring nursing home software for Medicare, Medicaid, and insurance billing.
- Knowledge of healthcare reimbursement and revenue cycle processes.
- Strong analytical, problem-solving, and communication skills.
- Ability to manage multiple priorities and work collaboratively across departments.
- Preferred: experience with PointClickCare, particularly payer configuration and billing functions.
- Preferred: experience reviewing provider and payer contracts to determine billing requirements.
- Preferred: knowledge of EDI, claims processing, and clearinghouse operations.
- Preferred: experience supporting healthcare financial applications in a multi-facility environment.
Benefits & Perks
- 401(k)
- Dental insurance
- Employee assistance program
- Health insurance
- Life insurance
- Paid time off
Location
Cleveland, Tennessee, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 week ago
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