Job Description

Job Location: Woodmere, OH 44122
Position Type: Full Time / Experienced Level
Salary Range: $70,000.00 - $125,000.00 Salary
Job Category: Advisory - Business Process Outsourcing
- Communicate with clients to address day-to-day information requests and resolve lower-level billing-related issues promptly.
- Handle escalated billing responsibilities, including co-insurance, Medicare Part B, therapy filings, and claims for multiple facilities.
- Ensure claims compliance with Medicare, Medicaid, and private insurance guidelines while maintaining high accuracy in coding and submissions.
- Provide detailed and reliable reports on billing activity.
- Act as a Team lead for certain operational tasks, such as monitoring billing performance metrics and assisting with budget management for assigned facilities.
- Mentor and support less experienced team members, providing guidance and training on billing practices and policies.
- Identify and escalate performance or operational issues to the appropriate leadership for resolution.
- Perform additional duties as assigned to meet departmental and client needs.

Qualifications
- 5–10 years of billing experience, with a focus on long-term care facilities or healthcare settings preferred.
- Advanced knowledge of billing processes, claims management, and payer requirements for Medicare, Medicaid, and private insurance.
- Strong organizational skills with the ability to manage multiple priorities and meet deadlines.
- Exceptional verbal and written communication skills for interacting with clients and team members at all levels.
- Detail-oriented with a high level of accuracy in billing processes and reporting.
- Analytical and problem-solving abilities to address a variety of billing scenarios.
- Demonstrated ability to handle confidential and sensitive information professionally.
Required Skills and Competencies:
- Comprehensive understanding of insurance industries, managed care programs, and government payer guidelines.
- Proficiency in billing software and tools for tracking claims and generating reports.
- Knowledge of HIPAA regulations and best practices for managing client data securely.
- Ability to identify inefficiencies and suggest improvements to enhance operational workflows.