Medical Billing Specialist - Skilled Nursing

Woodbury Health Care Center, a Lifespark Skilled Nursing Community, is looking for a dedicated and detailed Billing Specialist to join our growing team.

In this position, you will be responsible for managing Medical Assistance residents (medicaid, medicare, etc.), required forms and reporting, and general administration of applications and processes. Also responsible for overall communication and management of applying and renewal of Medical Assistance, weekly updates, and general administration support for facility team.

Shifts Available: Full-Time Monday-Friday
Wage: $22-$26 wage is based on experience

Are you compassionate towards others? Are you passionate about enriching the lives of others? If so, we want you to join our team and help seniors Age Magnificently! Our Billing Specialist / Office Assistant becomes family and impacts the lives of our residents who live in a Lifespark Senior Living Community.

In this position, you will be responsible for managing Medical Assistance residents, required forms and reporting, and general administration of applications and processes. Also responsible for overall communication and management of applying and renewal of Medical Assistance, weekly updates, and general administration support for facility team.

Duties include:

• Coordinate and verify all admission paperwork and ensure proper documentation is submitted to the county for Medical Assistance-qualified residents.
• Maintain and update resident data in applicable EHR systems; regularly review the facility roster to ensure Medical Assistance status is accurate.
• Analyze, complete, and submit Medical Assistance and General Residential Housing renewal applications; assist residents and responsible parties with related documentation and program education.
• Serve as a liaison between case managers, nursing staff, and external agencies regarding CL tools and benefits coordination.
• Support rep payee setup and attestation processes; manage resident trust accounts, fund delivery, and reconciliation.
• Monitor and communicate Medical Assistance pending statuses; follow up on required documentation and aging accounts.
• Communicate with state and county offices, billing specialists, and vendors regarding payments, claims, and payer issues.
• Write checks for resident expenses from the facility's PNC checkbook.
• Scan, file, and distribute faxes including VA authorizations, consultant sheets, remits, and insurance claim forms.
• Oversee organization and integrity of facility documentation, support payables reconciliation and reporting.
• Prepare and submit reports, including collection notes and aging summaries, by required deadlines.
• Demonstrate adaptability, prioritization, and organizational skills to meet workload demands.
• Uphold customer service standards, resident rights, and safety protocols.
• Participate in quality improvement initiatives, meetings, and mandatory in-services.
• Maintain compliance with facility policies, disaster preparedness plans, and health regulations.
• Perform other duties as assigned.

Preferred Qualifications:

• Previous experience in Skilled Nursing Billing (medicaid, medicare, etc.)
• Ability to read, write and verbally communicate clearly and confidently in English
• Must possess advanced computer skills.
• Excellent customer service skills including a friendly, courteous, and positive attitude
• Strong organizational and time management skills
• Ability to maintain confidentiality
• Must be capable of handling money and make change
• Ability to work under minimal supervision, self-directed

Benefits:

• Annual reviews with wage increases
• Paid time off & paid holidays
• Medical, dental, vision benefits
• 401k + company match
• Employee Referral bonuses
• Tuition reimbursement and nursing loan forgiveness
• Flexible scheduling
• Career development

Woodbury Health Care Center is home to seniors requiring TCU (Transitional Care Unit) Care and Long-Term Care. We are in Woodbury, right next door to Woodbury High School. We have been helping seniors Age Magnificently since 1979 and are part of Senior Care Communities, a local non-profit supporting seniors.

It has been and will continue to be our policy to provide equal employment opportunities to all employees and applicants without regard to age, race, creed, color, disability, marital status, sex, gender identity, national origin, ancestry, sexual orientation, arrest record, conviction record, military service, use or nonuse of lawful products off the Employer's premises during nonworking hours, or declining to attend a meeting or to participate in any communication about religious matters or political matters, or any other status protected by federal, state, or local law.