Description We are looking for a diligent Medical Billing/Claims Specialist to join our team in the healthcare industry in Allentown, Pennsylvania, United States. As a Medical Billing/Claims Specialist, you will be responsible for managing resident charges, processing claims, and ensuring accurate payment. This role provides an opportunity for long-term contract employment and requires skills in Medicare, Billing, and Claims Processing. Responsibilities: + Review their insurance coverage and discuss potential out of pocket expenses; review the potential need for Medical Assistance and program requirements. Set up EFT and offer to establish an RFMS to manage resident funds. + Collaborate with Revenue Cycle Manager to develop goals related to the accounts receivable and cash receipts. + Work independently to achieve accounts receivable/collection goals through room visits, phone calls, letters, and prompt recognition of collection issues. + Reconcile SNF census with inter-departmental team. Attend morning meeting and report trends that may affect the revenue cycle. + Verify insurance coverage for new admissions, readmissions, and current resident roster for the SNF. + Continually assesses residents’ financial status to determine potential Medicaid eligibility. + Notify PATHS when resident needs to begin the MA application process. + Process all monthly resident invoices and respond to all inquiries related to the billing within Twenty-Four (24) hours. + Accept and log cash receipts in accordance with the cash posting process. + Reconcile the cash postings to deposits on a weekly basis, ensuring the smooth completion of monthly closeout. + Ensures all charges are entered timely and accurately. + Complete tasks and processes for months end close. For immediate consideration please apply directly to job posting or call 610-882-1600 Requirements • Proficient in Medicare billing and claims processing • High degree of accuracy and attention to detail • Demonstrated ability to calculate, post, and manage accounting figures and financial records • Proficient in the use of MS Office, particularly Excel, and familiarity with relevant accounting software • Knowledge of data management and financial data analysis • An associate degree in finance, accounting or business is an advantage • Strong ethical standards and high levels of integrity • Ability to work cooperatively and collaboratively with all levels of employees, management, and external agencies • Excellent communication and problem-solving skills • Ability to work independently and prioritize tasks • Strong time management and organizational skills. Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2024 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking “Apply Now,” you’re agreeing to Robert Half’s Terms of Use (https://www.roberthalf.com/us/en/terms) .