Job Description

Are you a compassionate healthcare Billing Professional looking to make a meaningful difference in the lives of individuals during their healthcare journey? If so, join Care Initiatives as a Billing Specialist , where you will provide comprehensive care that truly matters. With over forty (40) skilled nursing communities, eight (8) hospice offices (and growing!), plus our own internal staffing agency, we are committed to providing exceptional care and support at every stage of the healthcare journey.


This Billing Specialist opportunity is great for an individual that is organized, process driven, and detail oriented. The Billing Specialist is responsible for the full-cycle billing processes. These duties include, processing monthly skilled nursing therapy & room/board claims for Medicare, Medicaid and third party insurances, posting insurance payments, working denials, and ensuring current A/R for assigned skilled nursing facilities. This full-time position works remote and will come to our West Des Moines Corporate Office two days per month.

What you'd do as a Billing Specialist at Care Initiatives:

• Maintains or oversees maintenance of accounts receivable systems, resident billing and accounts according to accepted accounting principles, regulations, and company policy/procedures and timelines.
• Maintains and oversees the billing and control of Medicaid, Medicare, Medicare Advantage, private insurance and co-insurance for patient claims.
• Guarantees that all claims are filed accurately and on a timely basis.
• Ensures that the co-insurance will be billed to the responsible party or insurance company within five working days of receiving the primary payment for the claim.
• Communicates and works cooperatively with fiscal intermediaries, company accounting staff, auditors, state agencies and facility staff.
• Research delinquent accounts and work the claim denial management process.
• Complete general bank deposits and posting of electronic payments, making adjustments as needed.
• Submit electronic and manual billing claims to carriers' intermediaries, and other payer sources.

What it takes to become a Billing Specialist with Care Initiatives:

• 1-2 years of experience in medical billing.
• Accounts Receivable & SNF billing experience - Highly Preferred.
• Strong data entry & keyboarding skills.
• Excellent organizational, time management, and communication skills.

Why do Billing Specialists choose Care Initiatives? Here are just a few reasons:

• Competitive compensation: Our sales leaders earn an extremely competitive wage.
• Comprehensive benefits: Eligible employees can choose from our affordable and robust benefit options, including medical, dental, vision, retirement savings, PTO, and more.
• Referral bonus: Earn extra cash by referring your friends to join our team.
• Digital wallet: Access your pay as you earn it, eliminating the wait for your paycheck.
• Work-life balance: Work in healthcare with a regular Monday to Friday schedule!

Apply now and embark on a rewarding career journey with Care Initiatives!


Committed to attracting and retaining a diverse staff, Care Initiatives will honor your experiences, perspectives, and unique identity. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.

Care Initiatives is an Affirmative Action and Equal Opportunity Employer. Care Initiatives complies with applicable federal civil rights laws and does not discriminate based on race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, gender expression, marital status, parental status, genetic information, protected veteran status, or any other characteristic protected by law.

Job Tags

Extra income, Full time, Work at office, Remote work, Monday to Friday

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