AdviniaCare ยท 14 hours ago
Central Regional Biller
Stoughton, MA
Full-time
Onsite
Mid Level
3+ years expAdviniaCare is seeking an experienced Central Regional Biller to join their Finance team at the corporate offices in Stoughton, MA. This role involves overseeing the Business Office at multiple locations, managing billing processes, and ensuring compliance with Medicaid and other insurance requirements.
Hospital & Health Care
Responsibilities
Must have Mass Health/Medicaid pending knowledge
Management of more than one facility Business Office
Billing of all insurance (excluding Medicare currently) using facility software and follow up of all insurances
Posting of Cash for all insurances
Overseeing with the Business Office Manager all Medicaid pending
Census tracking or skilled call weekly with facility BOM, Social Worker, MDS Nurse and Administrator
Looking at all admissions to make sure insurance was verified properly
Ensuring all outstanding balances are identified and the appropriate collection efforts are made and documented
Month end balancing of Cash to bank statements, Census, and adjustments, informing Director when completed
Bring all payment issues to Director in a timely manner
Responsible for identifying and determining appropriate bad debt write-offs and bringing to Director for approval
Knowledge with Medicare A and Medicare B co-insurances
Ability to manage Medicare and Commercial insurances
Knowledge with Hospice billing
Must have knowledge/experience with Patient Needs Account (PNA)
Balancing of PNA account
Oversee collections of Private and PPA being done by Business Office
Communicate special projects as assigned
All other related duties as assigned by supervisor
Qualification
Required
Must have Mass Health/Medicaid pending knowledge
Management of more than one facility Business Office
Billing of all insurance (excluding Medicare currently) using facility software and follow up of all insurances
Posting of Cash for all insurances
Overseeing with the Business Office Manager all Medicaid pending
Census tracking or skilled call weekly with facility BOM, Social Worker, MDS Nurse and Administrator
Looking at all admissions to make sure insurance was verified properly
Ensuring all outstanding balances are identified and the appropriate collection efforts are made and documented
Month end balancing of Cash to bank statements, Census, and adjustments, informing Director when completed
Bring all payment issues to Director in a timely manner
Responsible for identifying and determining appropriate bad debt write-offs and bringing to Director for approval
Knowledge with Medicare A and Medicare B co-insurances
Ability to manage Medicare and Commercial insurances
Knowledge with Hospice billing
Must have knowledge/experience with Patient Needs Account (PNA)
Balancing of PNA account
Oversee collections of Private and PPA being done by Business Office
Communicate special projects as assigned
All other related duties as assigned by supervisor
High School graduate or equivalent
Nursing Home experience required
Preferred
3+ years of related experience preferred
Benefits
Tuition Reimbursement
Flexible Schedules
Great Work Life Balance
Overtime pay
Competitive Rates
Medical
Health & Wellness
Care Management
Prescription Discounts
Dental, Vision
Life Insurance
Disability Insurance
EAP and College Tuition
401K Retirement Savings
Earned Time off (Sick, Vacation, Personal)
Paid Holidays
Company
AdviniaCare
Welcome to AdviniaCare.
1001-5000 employees
Funding
Current Stage
Late StageCompany data provided by crunchbase