Responsible for overseeing all aspects of the billing process. Operates as the leader in the billing team to
coordinate efforts. Responsible for being proactive to ensure we are aware of and prepared for changes in reimbursement regulations
and guidelines. Supervises, and is responsible for the growth and development of our billing specialists.
1 Supervises the billing specialists and is responsible for their growth and development.
2 Ensures the billing specialists enter resident charges in a timely and accurate manner to ensure appropriateness and accuracy of
3 Oversees the process for the billing of Medicare, Medicaid, and other insurance claims.
4 Reviews and corrects claims for errors identified pre- and post-submission of the claim.
5 Oversees the identification, research, and re-submission of any denied claims within the time compliance guidelines.
6 Oversees the process for any resident refunds.
7 Oversees the filing of any adjustments to Medicare and Medicaid on any charges due to incorrect charges, late charges, or
8 Assesses status of receivables, analyzes trends and variances, and reports finding to the Controller. Generates month-end Accounts
9 Oversees the processes of the billing team and works closely with the rest of the Accounting Department, as well as all other
departments as required.
10 Maintains accurate billing records for yearly MA/MC Cost Report.
11 Develops and implements enhancements to improve effectiveness and efficiency of the billing process. Continually reviews the
current processes for improvement.
12 Oversees the Triple-Check process
13 Generates ad hoc analysis and reports as requested.