Goodwin Living is a 2022 Top Workplace in the D.C. region, according to The Washington Post! Join our work team that includes members who represent nearly 70 countries. You’ll make connections that last a lifetime!

What Makes Us Awesome!

At Goodwin Living, we feel deeply connected to our work. We create meaningful relationships and have opportunities to grow our skills. We come from all around the world yet share the following qualities (that we hope you share, too!):

• Compassion that is rooted in a love of people
• Ambition to make a difference in the lives of others
• Desire to be a part of a mission-driven team

About the Position

The Billing Specialist for GHI provides oversight for daily financial operations of the Skilled Nursing, Home Health, and Hospice. This oversight includes accurate and timely prior authorization, charge entry assurance of compliance with third party payer regulations, and resolution of any problem billing. This position provides support and is responsible for coordination of both office and field staff in the operation and use of the MatrixCare and Wellsky computer system. This person also provides statistical reports and data analyses as requested. The position works under the general supervision of the Accounts Receivable Manager of GHI, but works with a large degree of independence.

Job Duties

• Understands and reviews reimbursement policies and patterns for SNF, Home Health, and Hospice claims with third parties such as Medicare, Medicaid, and various other commercial payers.
• Provides oversight over Home Health and Hospice program to maximize fiscal systems to solve billing or reimbursement problems
• Follows up on claim denials and requests for additional information. Reviews reasons for denial; appeal to third party payers as necessary/
• Lead worker within the SNF, HH, and Hospice to provide support and maintain responsibility for coordination of both office and field staff in the operation and use of the MatrixCare and Wellsky computer system.
• Works with staff to conduct periodic audits
• Provides support of other office functions as needed, including preparation of documents and reports, to support state, federal, and Joint Commission Accreditation Surveys

Job Requirements

• Knowledge of Medicare, MA, HMO, and insurance coverage determinations for SNF, HH, and Hospice, including Medicare secondary payer information.
• Knowledge of SNF, Home Health, and Hospice regulations, billing, and reimbursement requirements
• 2 years of billing and reimbursement experience required. SNF experience preferred
  
• High school diploma required, Bachelor's degree preferred
• Basic understanding of ICD-10 coding concepts and resources
• Proficient in medical terminology and abbreviations with previous experience in a skilled home preferred.

Our Amazing Benefits

At Goodwin Living, we’ve got you covered with incredible benefits, whether you work full-time, part-time, or PRN (as needed). Here’s a glimpse of what we offer to part-time team members:

• Paid Time Off
• DailyPay: Work and get paid the same day!
• Tuition Assistance for Career Development
• Financial assistance with U.S. Citizenship application or DACA Renewal
• Tutoring for ESL, Citizenship Test & GED
• Staff Emergency Grants
• Referral Program: Earn up to $3,000 for referring friends and family!
• Free Meals, Access to a Fitness Center, Pool, and More

About Goodwin Living

Goodwin Living has been uplifting the lives of older adults and those who care for them since 1967. Based in Northern Virginia, we are a mission-driven, not-for-profit organization, committed to exceptional service and personalized care. Our family of services includes three senior living life plan communities, an innovative continuing care at home program, health care services such as hospice, home health and rehabilitation therapy, and the Goodwin Living Foundation.

Goodwin Living provides a supporting and enriching work environment and is proud to be an Equal Opportunity Employer as well as an AARP Employer Pledge Signer.