Voted by Newsweek in 2024 as one of America's Greatest Workplaces for Diversity

• Tuition Reimbursement
• Pet Insurance
• Adoption Reimbursement Benefits
• Variety of Associate Discounts

To support our associates in their journey to become a U.S. citizen, Brookdale offers to advance fees for naturalization (Form N-400) application costs, up to $725, less applicable taxes and withholding, for qualified associates who have been with us for at least a year.

1. Perform quality assurance checks of patient information in PCC.
2. Bill initial and/or adjusted skilled nursing (SNF) claims for Managed Care, Medicare, Medicare copy claims, Benefit exhaust, no pays, Medicaid, and Coinsurance through Waystar clearing house, fax, or online portals. Billing SNF Private Pay statements thorough Waystar.
3. Create and bill carve out and high cost drug claims. 
4. Performa revenue input, claim creation, billing, and follow-up of immunization charges to Medicare and Manage Care. 
5. Maintain familiarity with current and past contracts with Managed Care companies. 
6. Follow up on past due revenue for Medicare, Managed Care, Coinsurance, and Medicaid accounts. Maintain knowledge of past due revenue for monthly calls with communities and Finance Director. 
7. Support communities with PCC, Medicare/Insurance, contract, and patient account questions that may arise. 
8. Follow up on all SNF credit accounts to determine if refund or escheatment is due or PCC adjustment is needed. 
9. Process write off and refunds via Service Now and PCC. 
10. Perform month end closing of divested communities in PCC.
11. Track all claims for monthly billing deadlines. 
12. Provides support for other team members as needed. 

Education and Experience
High school diploma or general education degree (GED) and minimum of one to three years related experience. Additional education may be substituted for years of experience requirement on a year-for-year basis up to 2 years. Associate’s or Bachelor’s Degree preferred.

Prior experience billing Medicare and insurance claims is required. Must have proficiency in Microsoft office including Excel and Word. Prior experience with PCC and Waystar, and experience in SNF billing is preferred.

Certifications, Licenses, and Other Special Requirements
None

Management/Decision Making
Makes standard and routine decisions based on detailed guidelines with limited independent judgment. Problems are generally solved with clear, detailed guidelines or by reporting them to a supervisor.

Knowledge and Skills
Has a basic level of skill and can follow written or verbal instructions. Has basic technical skills to complete a few repetitive and well-defined duties. Has a basic knowledge of the organization in order to answer basic questions. Full understanding of billing-related computer systems. Knowledge of insurance payers. Proficiency in computers to include Microsoft Word and Excel. Ability to organize daily activities within the office to promote timely and efficient transmission of information. Strong communication and customer service skills. Effective interpersonal and organizational skills accompanied with the ability to work with a high level of volume and detail. Ensures adherence to HIPAA and all laws pertaining to confidentiality.

Physical Demands and Working Conditions

• Standing
• Walking
• Sitting
• Use hands and fingers to handle or feel
• Reach with hands and arms
• Talk or hear
• Ability to lift:  Up to 10 pounds
• Vision
• Requires interaction with co-workers, residents or vendors

Brookdale is an equal opportunity employer and a drug-free workplace.