Billing and Collections Specialist Job Springfield area,Massachusetts USA,Healthcare

Overview

At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high‑quality care and exceptional service. As a leading provider in the long‑term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you’re an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles.

Join us in our mission to enhance the well‑being of our patients and residents while making a meaningful impact in the communities we serve.

Responsibilities

Oversees and performs day‑to‑day billing and collection activities associated with resolution on claims for payment from assigned payers. The supervisor directs his/her unit to perform daily operations to achieve management goals on a timely basis. The supervisor will monitor workflow and production standards in order to effect desired outcomes.

Schedules and organizes work assignments. Prioritize and delegate job tasks to ensure timely completion. Ensures work is performed accurately and efficiently.

Conducts performance evaluations and employee discipline. Hires, terminates and submits promotion or annual rate increases to Manager for approval. Follows HR Policy and Procedures.

Implements Policies and Procedures to maintain workflow standards.

Maintains Manuals of Policies and Procedures, Contract Guidelines, Reimbursement updates and Collection Tips.

Identify if each payer remitted the expected amount or, if not, why not.

Monitors the collection activity and DSO results in relation to company goals.

Prepares action plans for improvement.

Performs following day‑to‑day billing and collection activities such as preparing claims for payment from Managed Care Carriers and following up on any/all unpaid claims using established criteria.

Maintaining records, files, and logs of claim status or other billing information as directed.

Interacting with payers as required to obtain payment for pending or rejected claims.

Referring problem or unpaid claims to Manager in accordance with policy and procedures for follow up and review.

Preparing resubmission of claims for payment from third parties utilizing a payors standard format.

Maintaining records, files, and logs of claim status or other billing information as directed.

Assuring accuracy of data keyed in the Billing System to ensure accurate billing and prompt payment.

Participates in projects as requested.

Keeps Manager advised of concerns or compliance issues. Addresses problems as they occur.

Exhibits honesty and integrity in all aspects of the job.

Performs all other duties as assigned.

Qualifications

Five or more years experience in healthcare collections and/or comparable experience with one or more years of supervising or lead collection experience.

Experience with personal computers and healthcare billing software.

College graduate preferred.

Benefits

Variable compensation plans
Tuition, Travel, and Wireless Service Discounts
Employee Assistance Program to support mental health
Employee Foundation to financially assist through unforeseen hardships
Health, Dental, Vision, Company‑paid life insurance, 401K, Paid Time Off

We also offer several voluntary insurances such as:

Pet Insurance
Term and Whole Life Insurance
Short‑term Disability
Hospital Indemnity
Personal Accident
Critical Illness
Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range

USD $55,000.00 - USD $59,000.00 /Yr.

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