Corporate Biller Legacy Health Services - 3.0 Parma, OH Job Details Full-time 6 hours ago Benefits Disability insurance Health insurance Dental insurance Vision insurance 401(k) matching Opportunities for advancement Life insurance Qualifications Appeals Medicare Commercial insurance knowledge Managed care Accounts receivable management Account maintenance Medical insurance coverage verification Account troubleshooting Spreadsheets Research Mid-level Financial issue resolution Medicaid health insurance Medical billing and coding communication with insurance companies Medical insurance appeals management Medical claims submission Medicaid Medical billing account reconciliation Insurance provider collaboration Productivity software Insurance claims appeal handling Communication skills Medical claim status updates Invoice dispute resolution Medical record review for billing accuracy

Full Job Description Skilled Nursing Facility Billing & A/R Specialist Location:

Ohio Job Type:

Full-Time Department:

Revenue Cycle / Billing About the Position We are looking for an experienced Skilled Nursing Facility (SNF) Billing & A/R Specialist to join our Revenue Cycle team. This position will be responsible for accurate and timely billing, account follow-up, and resolution of outstanding accounts receivable for our skilled nursing facilities. The ideal candidate has hands-on experience with SNF billing and A/R follow-up, understands Ohio Medicaid and managed care billing, and is comfortable working independently while communicating closely with facility and billing teams. Key Responsibilities Complete monthly billing for skilled nursing facility residents Submit Medicare, Medicaid, Managed Care, commercial insurance, and private-pay claims Review claims for accuracy and completeness prior to submission Monitor claims and follow up on unpaid or denied claims Work outstanding A/R by payer and aging category Research and resolve claim denials, rejections, underpayments, and payment issues Follow up with insurance companies and Medicaid managed care plans regarding outstanding claims Review and resolve eligibility, authorization, coordination of benefits (COB), and other billing issues Identify trends and recurring billing issues and communicate them to management Maintain detailed and accurate account notes and follow-up documentation Work with facility Business Office Managers and other departments to obtain information needed to resolve accounts Review payer payments and identify potential underpayments or incorrect reimbursement Submit appeals, reconsiderations, and medical record requests as needed Maintain assigned A/R within established goals and follow-up timelines Assist with other Revenue Cycle projects and duties as assigned Qualifications 2+ years of healthcare billing and A/R experience preferred Skilled Nursing Facility billing experience strongly preferred Knowledge of Medicare, Ohio Medicaid, Medicaid Managed Care, and commercial insurance Experience working denials and unpaid claims Strong understanding of insurance eligibility and coordination of benefits Ability to prioritize and manage multiple accounts and deadlines Strong written and verbal communication skills Ability to work independently and as part of a team Proficiency with Microsoft Office, particularly Excel What We're Looking For We are looking for someone who is proactive, organized, and comfortable digging into an account to find out why it has not been paid. The right candidate will take ownership of their A/R, communicate issues early, and consistently follow accounts through to resolution. This is a great opportunity for someone who understands that successful billing is more than submitting a claim—it's about getting the claim paid and bringing the A/R back to the facility. Perks & Benefits Health, dental, vision, disability & life insurance (subject to plan terms and eligibility requirements) Career advancement opportunities 401(k) with company match through

Fidelity Daily Pay:

Get up to 50% of your earnings the next day Healthcare is a calling—and we're here to help you answer it. Ready to nourish lives and grow your career? We are an Equal Opportunity Employer and consider all applicants for positions without the regard to race, color, religion, sex, national origin, age, national orientation, age, sexual orientation, marital or veteran status, or non-job-related handicap or disability.