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Billing Specialist

Company: Sunshine Terrace Foundation
Location: Logan
Posted on: January 16, 2022

Job Description:

Sunshine Terrace Foundation of beautiful Logan, Utah is seeking a great communicator and team player to join us as a Billing Specialist. This is a job where you can help make a positive difference in people's lives every time you come to work!


In our 70 years as a non-profit, the Sunshine Terrace Foundation has grown from a small nursing home housing twelve, to a campus of short-term & long term health services that include rehabilitation, assisted living, senior exercise, health education, and multiple types of therapy. Currently, CMS rates us 5* on our staff to resident ratio -- the highest in the valley!

We offer great benefits such as medical, dental, vision insurance, paid time off, 401(k) contributions for full time staff. We also offer one of the best teamwork and employee cultures around. In this position you will come to love who you work with and you will know that you are contribution to a wonderful cause.

Essential Duties and Responsibilities include the following. Other duties may be assigned to meet business needs.


  • Maintains current knowledge of Medicare, Medicaid, and third party reimbursement requirements
    * Runs necessary reports and reviews various documentation to ensure data is accurate for billing
    * Verifies accurate billing amounts, services codes, billing codes and billing rules for pay sources
    * Prepares and submits timely billing of all patient accounts to appropriate payer sources such as Medicare, Medicaid, third party payers and patient co-pays
    * Monitors claim statuses and follows up on outstanding payments as needed
    * Submits required documentation for each denied claim within established time frame
    * Posts payments and reconciles appropriate company billing records
    * Serves as a contact for customer questions related to their bill
    * Runs accounts receivable reports on a weekly basis and updates status of claims
    * Communicates with appropriate personnel regarding billing questions and decisions
    * Upholds patient and company confidentiality at all times
    * Other duties as assigned.

    Job Requirements


    * Position requires high school degree or equivalent
    * Experience with Medicare, insurance policies, and/or medical billing strongly preferred but willing to train the right candidate

    Other Qualifications/Requirements

    * Requires excellent interpersonal communication skills
    * Attention to detail
    * Microsoft Office
    * Previous billing software experience preferred
    * Typing skills

    Supervisory and Reporting Responsibilities

    * Reports directly to Sunshine Terrace Foundation Controller

Keywords: Sunshine Terrace Foundation, Logan , Billing Specialist, Accounting, Auditing , Logan, Utah

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