Billing Specialist

The O aks Post Acute is a pristine 122 bed skilled nursing facility located in the heart of Orangeburg, SC.

Are you looking to make a difference in the lives of those we serve? At The Oaks, we value the relationships we have in our community, with our fellow colleagues, and also with residents and family members.

We are seeking a detail-focused Business Office Specialist to handle all billing-related functions ?.

This role is exclusively responsible for financial transactions, claim processing, and resident account management, ensuring compliance with regulatory requirements ✅.

?️ Key Responsibilities:


* ? Submit accurate billing claims for Medicare, Medicaid, private insurance, and private pay residents


* ?️ Maintain up-to-date resident billing records and census-related charges


* ? Monitor accounts receivable and follow up on outstanding balances and claim denials


* ? Post payments and reconcile remittances


* ? Assist with monthly billing cycles and generate statements for residents or responsible parties


* ? Ensure billing practices comply with CMS, state, and payer-specific requirements


* ? Respond professionally to billing inquiries from families, payers, and auditors


* ?️ Prepare documentation for internal and external financial audits


* ? Manage resident trust funds in accordance with applicable regulations (if assigned)

? Qualifications:


* ? High school diploma or equivalent required; Associate's degree in business or accounting preferred


* ? At least 2 years of experience in healthcare billing (long-term care experience preferred)


* ? Strong knowledge of Medicare, Medicaid, and commercial insurance billing


* ? Familiarity with billing platforms such as PointClickCare, MatrixCare, or similar


* ? Working knowledge of CMS billing rules and HIPAA privacy standards


* ? Excellent attention to detail and organizational skills

? Preferred Skills:


* ? Experience handling EOBs, denial management, and resubmission processes


* ? Familiarity with resident trust fund oversight (per 42 CFR §483.10)


* ?‍? Proficiency in Microsoft Excel and billing software tools

? What We Offer:


* ? Competitive pay based on experience


* ? Health, dental, and vision insurance options


* ?️ Paid time off (PTO) and paid holidays


* ? Opportunities for advancement and training in a supportive team environment


* ? A stable, resident-centered workplace culture focused on integrity and excellence


* ? Clean, professional office setting in a respected long-term care facility

Obtain managed care and Medi Cal or Medicaid authorizations including bedholds.

Assist with managing resident trust fund, including printing and distributing monthly statements.

Supervise business office staff, including taking appropriate disciplinary measures.

Maintain census and ...