Private Pay Billing Specialist

Position:              Private Pay Billing Specialist

Reports to:         Revenue Cycle Manager

Status:                  Full-time: Non Exempt

The Private Pay Billing Specialist is part of the Revenue Cycle process team. He/she facilitates the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue.

Specific responsibilities include but are not limited to the following:

  • Data Entry
  • Perform Billing and Collection Functions
    • Perform Private or Self Pay collection procedures
    • Perform patient account analysis
    • Complete basic bookkeeping functions (census or charge entry, cash application, adjustment processing)
    • Generate and submit billing for private pay sources timely and accurately
    • Document billing and collection activity in accordance with Richter Healthcare Consultants policy and procedure
    • Work effectively within client and/or Richter Healthcare Consultants billing systems
    • Effectively communicate and respond to inquiries by client staff, co-workers, and other party representatives
    • Analyze and problem-solve when faced with obstacles
    • Effectively prioritize and manage time to accomplish project goals and expectations
    • Communicate status of projects to team leader/manager on a daily or weekly basis depending on project requirements
    • Report project status to client weekly via reports, documentation in software or AR calls as directed
  • Insurance verification, statement generation, follow up
  • Respond to Patient Billing Inquiries
    • Handle daily billing calls on behalf of assigned clients/accounts
    • Follow up on billing inquiries made after hours
    • Follow up on billing concerns from residents, family and staff
    • Complete tracking worksheets
  • Perform other duties as assigned

Job Requirements:

  • High School Diploma, Associates Degree preferred
  • 3 – 5 years of professional billing experience, preferably in a healthcare environment
  • Collections experience
  • Experience billing Medicaid patient liability
  • Must possess an extensive knowledge of Medicare and Medicaid requirements, procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers
  • Must have the ability to make independent decisions
  • Must possess the ability to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
  • Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices
  • Must possess a high degree of attention to detail and best practice as it relates to client data
  • Must possess basic computer literacy skills, including Microsoft Excel and Word

Why should you choose Richter?

  • We offer a competitive starting salary based on experience with excellent benefits including: Medical, Dental, Vision, 401k, Paid Vacation, Sick Leave, Paid Holidays and more!
  • We are an industry leader in the post-acute care consulting sector including SNF, CCRC, Home Health and Hospice
  • With our continued growth, you will have the opportunity to advance both your skill set and your career journey
  • We promote from within!
  • You will be provided on-going training and opportunities to expand your skill set that will increase your earning potential
  • We offer a team-oriented environment and have created an atmosphere where our employees enjoy coming to work. Our turnover rate is low! A high number of our employees have been with us more than 5 and 10 years

Richter Healthcare Consultants is committed to equal employment opportunity.  We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.

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