Accounts Receivable HMO Billing Specialist

Job description

Accounts Receivable HMO Billing Specialist

A healthcare financial services company is seeking an experienced Accounts Receivable HMO Billing Specialist to handle billing and receivables for a group of skilled nursing facilities. This role will be responsible for HMO billing related functions across multiple entities, ensuring claims are submitted accurately, payments are properly tracked, and outstanding receivables are closely monitored.

The Accounts Receivable HMO Billing Specialist will handle Managed Medicaid, MLTC, and Commercial plan claims while working closely with business office staff. Responsibilities include reviewing census information and authorizations, billing for services, monitoring collections and payments, conducting audits, and reviewing aging reports.

The ideal candidate has direct skilled nursing or post acute HMO billing experience and is comfortable managing multiple payer types, accounts, and month end deadlines in a fast paced environment.

Key Responsibilities:

Manage HMO billing for skilled nursing facilities

Bill Managed Medicaid, MLTC, and Commercial plan claims

Review census data and authorizations for billing accuracy

Submit claims and monitor collections and payments

Track outstanding receivables and review aging reports

Identify and follow up on troubled or growing accounts and payer issues

Conduct audits and ensure billing compliance

Work closely with business office managers and facility staff

Manage billing responsibilities across multiple entities

Maintain accurate Accounts Receivable records

Support month end close requirements and deadlines

Communicate account and payer issues clearly to executive leadership

Qualifications:

Minimum 2 years of HMO billing experience in healthcare Accounts Receivable required

Skilled nursing, rehabilitation, or post acute facility billing experience required

Experience with Skilled Nursing Facility Accounts Receivable billing

Nursing home A/R bookkeeping experience

Experience with HMO billing systems and common working files

Familiarity with CMS regulations

Strong understanding of Managed Medicaid, MLTC, and Commercial plan billing

Ability to manage multiple projects, payer types, and deadlines

Strong attention to detail and problem solving skills

Excellent computer and communication skills

Ability to work effectively with business office managers and executive leadership

Location: Brooklyn, NY, On Site

Type: Full time

Salary: $70,000 to $90,000/year

Worksite address

brooklyn, NY, 11210, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.