Third-Party Billing Specialist - FellowshipLife : Job Details

Join our exceptional finance team as a Third-Party Billing Specialist and play a pivotal role in ensuring the financial health and seamless operations of our dynamic environment. At FellowshipLIFE, we are committed to providing unparalleled care and support to our residents. We're looking for a skilled and detail-oriented professional who thrives in managing billing processes with precision and efficiency. If you're passionate about contributing to a team dedicated to excellence and eager to make a meaningful impact, we invite you to apply and grow with us!

• Team-Oriented Atmosphere: Become part of a cohesive team where your proficiency in addressing billing challenges and collaborating with patients, healthcare providers, and insurance companies will be respected and essential to our daily operations.
• Career Development: Opportunity for career advancement in a nurturing work environment that prizes leadership, adept communication, and organizational abilities.
• Significant Contribution: Partner with us to make a significant impact by ensuring precise and efficient third-party billing processes, directly bolstering our dedication to delivering exceptional healthcare services to residents.

• Enter all charges for third party monthly billing and post all payments.
• Bill insurance companies, government programs, (and other external entities) monthly.
• Active participation in Triple Check process with interdisciplinary team attending.
• In collaboration with Billing Manager, maintain billing systems managing updates for rates, contracts, revenue codes, collections, etc.
• Manage and follow-up on any denials or issues from billing.
• Maintain electronic insurance files for residents including doctor bills, insurance cards, explanations of benefits, etc.
• Review insurance coverage on all perspective residents through insurance eligibility verification using Inovalon software.
• Meet with residents to discuss any problems and concerns regarding health insurance coverage and explanations of benefits.
• Inform residents of the appropriate time to pay outstanding balances after all insurance payments have been made.
• Review ancillary bills to determine that residents/insurance carriers are being billed properly.
• Gather room and board charges, pharmacy and medical supply, therapy, and other ancillary charges for each Medicare patient.
• Produce UB-04 for third party billing.
• Check status of claims and make all adjustments and corrections as needed.
• Maintain electronic file on all billing remittances on a yearly basis.

• Minimum of four (4) years healthcare billing and collections experience required.
• Medicare, Medicare Advantage, Commercial and other Third-Party Billing experience required.
• Proficiency in MS Excel, including the ability to operate computerized accounting and spreadsheet programs.
• Knowledge of billing best practices and regulatory standards and compliance requirements.
• Highly organized and detailed, with ability to work in a fast-paced atmosphere.
• Strong interpersonal skills to communicate with and respond effectively to the instructions and requests from a diverse group of clients/residents, visitors, and team members and to provide information with courtesy and tact.
• Integrity and confidentiality in financial reporting.

EOE: FellowshipLIFE is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We support a work environment where diversity, integrity and excellence are embraced, family is valued, and Fellowship Spirit is strengthened.