PACS

Regional Billing Specialist

PACS$85K — $90K *
US-AnywhereRemote in California, US
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Associates Degree or higher in Accounting, Finance, or related field preferred; HS diploma or GED required.
  • Proficient knowledge of Medicare, Medicaid, and Managed Care Insurances.
  • Familiar with state and federal SNF billing regulations and guidelines.
  • Demonstrated ability to adapt in a fast-paced dynamic environment.
  • Proven experience in meeting deadlines and performance goals.
  • Strong critical thinking skills for problem resolution.
  • Excellent written and verbal communication skills.

Responsibilities

  • Submit claims accurately for Skilled Nursing Facilities to various payers.
  • Post payments and ensure accurate receipt from all payers.
  • Comply with all relevant regulations and billing guidelines.
  • Follow up on outstanding claims and resolve billing discrepancies.
  • Post adjustments and write-offs as needed.
  • Report on AR metrics and trends.
  • Assist in training staff and resolving claims issues.

Benefits

  • Opportunities for professional development and training.
  • Supportive team environment with collaborative culture.
  • Flexible work environment with reasonable accommodations.
  • Low to moderate noise level conducive for concentration.
Full Job Description
General Purpose

The Billing Specialist will assist in the management of claims billing and payment for multiple facilities. The Billing Specialist will perform all functions necessary through the revenue cycle of claims including proper revenue recognition, claims generation, claim submission, and follow-up through payment.

Essential Duties
  • Accurate and timely submission of claims for Skilled Nursing Facilities (SNF) to all payers including
    Medicare, Medicaid, HMO, and Managed Care Insurances.
  • Payment posting and ensuring accurate and timely payment from all payers.
  • Adherence to all relevant regulations, policies, and billing guidelines.
  • Following up on outstanding claims and resolving any billing discrepancies.
  • Adjustment and write off posting as necessary.
  • AR Metric reporting.
  • Trending reporting.
  • Meeting all performance goals.
  • Providing assistance to other staff for training purposes and claim resolution.
  • Other duties as required and assigned.


Qualification

Education and/or Experience
  • Associates Degree or higher in Accounting, Finance, 01 related field preferred. HS diploma or GED requires
  • Knowledge of Medicare, Medicaid, and Managed Care Insurances.
  • Knowledge of state and federal SNF billing regulations and guidelines.
  • Ability to adapt in a fast-paced dynamic environment.
  • Ability to meet deadlines while achieving performance goals
  • Must have ability to critically think through problems to resolution.
  • Must possess strong written and verbal communication skills Must be a team-player and willing to assist others when needed.


Experience
  • It years of SNF billing experience.
  • PointClickCare experience preferred
  • Experience with the Microsoft suite of programs including
  • Excel, Word, and PowerPoint


Physical Demands
  • Prolonged periods of sitting or standing at a desk (typically 7-8 hours per day) while reviewing claims, posting payments, and analyzing AR metrics.
  • Frequent, high-volume use of a computer mouse and keyboard for data entry, spreadsheet management (Excel), and navigating billing systems (PointClickCare).
  • Close visual acuity required for extended screen time to review detailed financial data, identify billing discrepancies, and ensure accurate revenue recognition.
  • Minimal physical exertion; rarely required to lift or move objects weighing more than 10 Ibs. (e.g., standard paperwork or light office supplies).
  • Ability to effectively communicate via phone, video conferencing, and written email to collaborate with team members and resolve claim issues.


Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually low to moderate.

Additional Information

Note: Nothing in this job specification restricts management's right to assign or reassign duties and responsibilities to this job at any time. Critical features of this job are described under various headings above.

They may be subject to change at any time due to reasonable accommodation or other reasons. The above statements are strictly intended to describe the general nature and level of the work being performed. They are not intended to be construed as a complete list of all responsibilities, duties, and skills required of employees in this position.

Pay Range:$85,000- $90,000

About PACS

PACS is a staffing and recruiting company that offers clinical training and employment services. The company provides back-office support to over 200 healthcare facilities across the United States. Their services include accounting, finance, HR, payroll, legal, and IT support, enabling local leadership and care teams to focus on patient care and well-being. PACS also operates satellite offices nationwide, delivering essential administrative assistance to healthcare providers.

PACS Careers

Joining PACS presents an unparalleled opportunity to become part of a leading team of professionals dedicated to pioneering innovations in their industry. PACS, known for its commitment to diversity and leadership in technology, offers a range of job opportunities that cater to skilled individuals eager to drive digital transformation.

Explore Job Opportunities

PACS is actively hiring and offers a variety of positions that cater to different skills and career aspirations. Whether one is looking for an internship, full-time employment, or leadership roles, PACS provides a platform to enhance professional growth and networking opportunities.

Experience the Culture and Benefits

PACS is committed to fostering a culture that values diversity and inclusion, ensuring all team members can thrive. The company offers competitive benefits, including comprehensive health coverage, retirement plans, and diversity training programs that support both personal and professional development.

Innovation and Professional Growth

At PACs, innovation isn't just a buzzword; it's the cornerstone of the company's operations. Employees are encouraged to lead and innovate, contributing to projects that push the boundaries of technology. Professional growth is supported through extensive training and development programs, helping team members expand their knowledge and advance their careers.

Join a Diverse Team

The team at PACS is diverse, bringing together experts from various backgrounds to collaborate on solutions that lead the market. This diversity fuels creativity and is key to the company's success in developing innovative solutions.

Career Advancement Opportunities

PACS believes in nurturing talent and leadership from within. With programs designed to identify and develop future leaders, employees have access to career advancement opportunities that are second to none. The company's commitment to professional development ensures that every team member has the resources to succeed.

Networking and Career Development

Networking within PACS opens doors to collaborative opportunities and career advancement. Employees are encouraged to engage in internal networking events that connect them with peers and leaders, fostering a sense of community and shared purpose.

Applying for a Position

To apply for a position at PACS, candidates should prepare their resume to highlight relevant experience and skills. The interview process at PACS is designed to assess not only professional qualifications but also a candidate's fit with the company's culture and values.

Stay Connected with PACS Careers

For those interested in joining PACS, staying updated on new job openings and company news is essential. Subscribing to job alert emails can provide timely information tailored to specific career interests and preferences.

Explore PACS Jobs

Discover the exciting and rewarding career opportunities at PACS. Search open positions that match individual skills and interests, and take the first step towards a fulfilling career at a company that values innovation and leadership.

READ CAREERS BLOG

Stay ahead with career tips, insider perspectives, and industry-leading insights from PACS – all from the people who are part of the team.
Learn more about PACS
Size
10,001 employees
Industry

Similar Jobs

More Jobs at PACS

More Healthcare Jobs

Find similar Regional Billing Specialist jobs: