Regional Billing Specialist

🕒 2 days ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $80k - $100k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

📊 Billing Specialist

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PACS

WebsiteLinkedInAll Job Openings

201 - 500 employees

⚕️ Healthcare Insurance

🏢 Enterprise

🧘 Wellness

Healthcare Insurance • Enterprise • Wellness

PACS is a holding company with subsidiaries forming a national platform focused on post-acute care facilities, senior living communities, and related ancillary services. The company is committed to transforming the delivery and perception of post-acute healthcare across the United States. With over 314 locations, 40,000 professionals, and support for 30,000 patients and residents daily, PACS operates in 17 states, contributing significantly to the post-acute healthcare sector. PACS Group, Inc. itself does not provide healthcare services directly but operates through licensed subsidiaries.

📋 Description

• Generate trial claims regularly to identify and resolve billing errors prior to final submission • Ensure all prior-month claims are billed immediately following the Triple Check date • Maintain a cumulative list of all unbilled claims; provide daily updates and documentation until all prior-month claims are successfully released • Review Waystar for rejected claims daily. Ensure all rejections are corrected and resubmitted within one business day • Maintain comprehensive working knowledge of payer contracts and rules; ensure all billing aligns strictly with specific contract provisions • Review Payer Setup Information reports regularly to identify inaccuracies • Monitor insurance portals for status updates and denials • Ensure detailed, professional notes are added to all accounts worked within PCC to maintain a clear audit trail • Post all payer-appropriate cash to PCC daily

🎯 Requirements

• 2–4 years of experience in healthcare billing, accounts receivable, or revenue cycle operations • Working knowledge of payer rules, billing regulations, and claims submission processes • Experience with electronic health record (EHR) and billing platforms (PointClickCare or similar) • Strong analytical skills with the ability to identify trends, resolve billing issues, and ensure data accuracy • Excellent attention to detail, documentation habits, and organizational skills • Ability to communicate effectively with Business Office Managers, payers, and cross-functional teams

🏖️ Benefits

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions • Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development opportunities