Insight Global is looking for a Corporate Healthcare Billing Consultant for a Senior Living Operator client in the Des Moines, IA area. This individual will be joining a team of nine others in a unique role. This role requires someone who has a strong background with Senior Living, billing. Specifically, within the skilled nursing space. Understanding Medicare, Medicaid, Medicare part B, managed therapies, managed care billing, private pay, accounts receivable, etc. You will support the client's senior living communities in analyzing their billing systems and their efficiencies, understanding what a community has done wrong, knowing and understanding what a community needs to have improvement on, and then coming up with a training process for them to get better, and implementing that. This role will involve heavy communication with our corporate and community teams, with travel to the communities.
Conduct audits and reviews of healthcare billing processes at Life Plan communities; share findings and best practices with staff.
Ensure compliance with federal, state, and local regulations; monitor changes and develop training plans for skilled nursing billing processes.
Create and maintain training materials for community and corporate roles involved in healthcare billing.
Analyze accounts receivable trends with Billing & AR Manager; develop strategies and training to meet benchmarks.
Collaborate with OneEHR and other departments to optimize revenue cycle software and provide guidance on billing best practices.
Identify and address issues through denial reviews, appeals, and regulatory research; update training as needed. Support onboarding/disengagement for communities as the healthcare billing subject matter expert.
Salary for this position ranges from $96,000-$120,000 and is dependent on years of experience and skills coming in with. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.
Skills and Requirements
5+ years of experience in Senior Living billing, revenue cycle, AP/AR, Medicare/Medicaid, etc.
Extensive multistate knowledge regarding billing regulations & laws.
Able to analyze data and provide strategic direction & recommendations.
Self starter mindset, ability to manage your own time, and access & prioritize needs.
Bachelor's degree in a related field.
Skilled nursing billing experience preferred
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