Medicare/Managed Billing Specialist

About the role

This is an exciting opportunity to join ClearView Healthcare Management as a Skilled Nursing Home Billing Specialist. You will be responsible for verifying patient eligibility, preparing and reviewing patient claims, and working closely with the facility's Business Office Manager.

Responsibilities

• Verify patient eligibility when needed
• Collaborate with the facility's Business Office Manager by reviewing and balancing the daily census
• Prepare and review patient claims for accuracy and completeness, resolving discrepancies
• Bill claims to Medicare and Managed Care payors (primary and secondary)
• Track claim status and resolve rejections daily
• Work on Medicare/Managed Aging daily
• Participate in the month-end close process
• Spot billing trends and carrier-related issues
• Stay up-to-date on Medicare and insurance billing practices through ongoing education
• Take on additional duties as assigned

Requirements

• A high school diploma (required)
• At least 1 year of Medicare/Managed Care billing experience (required)
• BOM experience is a plus
• Strong attention to detail and organizational skills
• Ability to prioritize and meet deadlines in a fast-paced environment
• SNF billing experience is a plus

Qualifications

• Excellent communication skills and respect for confidentiality
• Integrity, discretion, and professionalism

Skills

• Knowledge of managed insurance's timely filing deadlines

Benefits

• Full-time stability
• A comprehensive healthcare benefits package
• A 401(k) retirement plan
• Paid time off to recharge
• Flexible scheduling options
• A wellness program to support your well-being
• Career growth opportunities; we love promoting from within!
• A fun, supportive culture dedicated to your success

Pay

Compensation is commensurate with experience and overall revenue cycle team goals.

Schedule

Flexible scheduling options are available.

Benefits

• Comprehensive healthcare benefits
• A 401(k) retirement plan
• Paid time off to recharge
• Flexible scheduling options
• A wellness program to support your well-being

Equal Opportunity Employer

The Facility is an equal-opportunity employer. The Facility does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws.