Remote LTC Biller

Job title: Remote LTC Biller in Greenville, SC at HealthPRO Heritage

Company: HealthPRO Heritage

Job description: OverviewHealthPro Heritage has a great Long-Term Care (LTC) Biller opportunity! This full-time, fully remote position is responsible for resolution of facility contract account balances and assisting in the successful completion of Month end closure!Why Choose HealthPro Heritage?

• Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions.


• Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.


• Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.


• Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.


• Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!

• Responsible for various aspects of the LTC Billing process: Entering facility contracts, Invoice creation, payment posting, invoice submission, and outstanding facility balance tracking. These invoices are processed through the Net Health system electronically.


• Obtains supporting documentation, i.e., contracts, reports, census, medical records through the various systems used by HPH.


• Reviews, interprets, and applies contract terms into Net Health system and identifies and/or applies payments and adjustments as per contract guidelines.


• Assist in successful month end closure of LTC sites. Demonstrates appropriate and timely communication.


• Assisting with step by step training/workflow documents.


• Serves as a resource for problem solving issues related to LTC billing.


• Works correspondence including support tickets, emails, and phone messages from internal and external teams.


• Works collaboratively with LTC Collections team, RCM direct billing team, RCM Cash posting team, Credentialing/Provider Enrollment and field teams.


• Assists Accounting/Finance Team as needed with issues/concerns.


• Ability to follow department processes and controls.


• Complying with medical coding guidelines and HealthPRO-Heritage policies. Ensuring codes are accurately assigned and sequenced correctly in accordance with government and insurance regulations.


• Demonstrate knowledge of the Revenue Cycle and the impact denial decisions on revenue cycle.


• Reviewing and processing insurance denials, analyzing Explanation of Benefits (EOB)/ Electronic Remittance Advice (ERA) forms as needed.


• Manage multiple work demands simultaneously to maintain relevant productivity and turnaround time standards for completing.


• Other duties as assigned.

• 2+ years of work experience as a Accounts Receivable/Denial specialist and or Invoice/Contract billing and Professional Physician (ProFee) billing, preferred.


• Computer literacy of medical information systems, records management software.


• Good computing knowledge in Microsoft Outlook, Word, Excel, PowerPoint etc.


• Excellent communication and customer service skills, both verbal and written.


• Understanding of contract/invoice billing and third-party reimbursement rules and regulations. Medical Billing experience preferred.


• Outstanding organizational, detail oriented and time management skills.


• Ability to work independently as well as part of a team when necessary.


• Excellent typing and 10-key speed and accuracy.

Expected salary:

Location: Greenville, SC

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