Enjoy what you do while contributing to a company that makes a difference in people’s lives! Remedi SeniorCare is a leading pharmacy innovator servicing long-term care facilities and communities. We are currently looking for enthusiastic, motivated and talented Billing Specialist to join our team!

The Billing Specialist is responsible for accurate billing for Nursing Homes, Assisted Living Facilities, Group Homes, and Private Pay statements.

• Achieves department goals in volume, production, quality, and customer service.
• Performs Medicaid eligibility checks as required for accurate monthly billing.
• Creates pre-bills and review for accuracy multiple times throughout the month.
• Prepares monthly billing statements.
• Uploads facility bills to MyRemedi and addresses charges disputes from facilities generated from MyRemedi Invoice Approval.
• Completes composite billing including:
• Review of software limitations and error corrections
• Performs claims submission and reject resolution
• Applies split billing charges as appropriate
• Resolves rebilled rejected claims.
• Researches and processes price matching requests along with monthly review/updates
• Researches returned mail as received and appropriately processes.
• Obtains and enters applicable Hospice information including formulary and payer adjudication details.
• Assists customers with payments as well as questions regarding payments through online portal.
• Reviews census for payer changes and updates as needed.
• Researches and obtains documentation for claims requiring BAE.
• Identifies and processes third party and facility/private write-offs.
• Reviews, processes and maintains DocuTrack billing documents queue.
• Responds to customer service calls and emails from facilities, patients, families and responsible parties and resolves reported issues.
• Provides internal customer service by communicating with and assisting other departments on billing related matters.
• Reviews, researches and responds to third party audits related to specific billing issues.
• Completes Financial Reporting including:
• Assigned daily, weekly and monthly reports
• Facility short pay review and communication
• Routine billing open batch review/processing and communication
• Census receipt / PPD calculations and facility and/or corporate communication

• High school diploma or GED equivalent.
• Proficient in Excel, Word and Outlook required, general knowledge and understanding of billing rules desired.
• Minimum of two years medical billing or collections experience desired.
• Previous LTC pharmacy billing preferred.

Remedi offers great benefits and perks!

• Medical, Vision and Dental Insurance
• Flexible Spending and Health Saving Accounts
• Life insurance/Long-and Short-term disability
• 401K plan and company contribution