Pay Growth
?
out of 5
Not enough data
Not enough info to score pay or growth
Senior Finance Specialist
Job
Newaygo Medical Care Facility
Fremont, MI (In Person)
$68,640 Salary, Full-Time
Review key factors to help you decide if the role fits your goals.
Job Security
?
out of 5
Not enough data
Calculating job security score...
Total Score
60
out of 100
Average of individual scores
Skill Insights
Compare your current skills to what this opportunity needs—we'll show you what you already have and what could strengthen your application.
Job Description
Overview Newaygo Medical Care Facility is seeking a detail-oriented, experienced Skilled Nursing Facility (SNF) Biller to join our team. This position plays a critical role in ensuring accurate and timely billing, reimbursement, and compliance with all applicable regulations. The ideal candidate will have prior experience in a Skilled Nursing Facility Business Office, and demonstrate strong knowledge of Medicare and Medicaid billing processes.
Key Responsibilities:
- Prepare and submit claims for Medicare, Medicaid, and Managed Care payers, including Part A, Part B, and coinsurance.
- Prepare and distribute private pay statements.
- Post payments and process adjustments according to payer guidelines.
- Monitor accounts receivable, investigate and resolve any unpaid or denied claims, and manage appeals as necessary.
- Communicate with insurance companies, residents, and responsible parties regarding billing inquiries.
- Perform collections including phone, in person, and written communications.
- Assist with claim audits and secondary reviews.
- Monitor Level of Care Determinations (LOCDs) to ensure appropriate compliance to protect assurance of reimbursement.
- Issue and track Notices of Medicare Non-Coverage (NOMNCs) and Advance Beneficiary Notices (ABNs) in compliance with CMS guidelines.
- Work collaboratively with clinical and administrative staff to ensure accurate documentation and billing practices.
- Stay current with CMS regulations and payer requirements to ensure optimal reimbursement and compliance with current guidelines. Qualifications
- High school diploma required; associate's or bachelor's degree in accounting or related field preferred.
- Minimum 3-5 years of SNF Billing experience required.
- Knowledge of CMS guidelines for LOCD, NOMNC, and ABN.
- Demonstrated understanding of Medicare Part A & B, Medicaid, Managed Care, and Private insurance billing.
- Familiarity with SNF Consolidated Billing and PDPM reimbursement methodology
- Experience with EMR and SNF billing systems, such as Point Click Care and Waystar.
- Some understanding of ICD-10 coding preferred. Skills and Competencies
- Exceptional attention to detail and accuracy
- Strong analytical, organizational, and time management skills
- Ability to manage multiple priorities and deadlines
- Professional demeanor, with excellent communication and problem-solving skills
- Commitment to maintaining confidentiality and compliance standards
- Proficiency in Microsoft Office Why join our team?