Medical Billing Rep, FT

$36,400 - $36,400/Yr

John Knox Village

Full-time

Nursing and Residential Care Facilities

About the position

The Medical Billing Representative is responsible for preparing, processing, following up, and collecting all billings for services provided by the Village, ensuring compliance with government regulations and contractual obligations. This role supports the Village's mission and values while maintaining accurate documentation and handling resident inquiries professionally.

Responsibilities

• Ensures accurate billings to all payors for services provided to residents.
• Submits claims to Medicare, Medicaid, and commercial/third parties.
• Prevents collectable accounts from becoming uncollectible/delinquent.
• Reviews account balances, aging, and other information to collect accounts in a timely manner.
• Maintains accurate documentation and follows established policies to write off uncollectible accounts.
• Documents collection efforts.
• Maintains knowledge of applicable billing regulations and rules related to specific payors.
• Handles resident inquiries in a professional and efficient manner.
• Coordinates information flow necessary for billing with other departments throughout the Village.
• Follows HIPAA guidelines when accessing personal health information.

Requirements

• High school diploma or GED required.
• 3 to 5 years of experience in medical billing to all payor types such as Medicare, Medicaid, and commercial payors.
• Extensive knowledge of claim denial and appeals processes.
• Knowledge of applicable regulations related to specific payors such as MCR, MCS insurance, etc.
• Intermediate keyboarding skills.
• Intermediate level knowledge of Microsoft Windows and Office Applications such as Word and Excel.
• Intermediate level of experience in navigation of Direct Data Entry software (DDE).
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
• Ability to write simple sentences, paragraphs, and correspondence.
• Ability to effectively present information in one-on-one and small group situations.

Nice-to-haves

• Advanced customer service skills.