Senior Billing Specialist - Medicaid

Senior Billing Specialist

The reputed company is a multi-state not-for-profit senior living organization sponsored by the Carmelite Sisters of the Aged & Infirm. The Carmelite Sisters operate a network of skilled nursing facilities throughout the United States.

We are seeking to hire a Senior Billing Specialist - Medicaid for a fully-remote role reputed company our finance department supporting multiple senior living facilities throughout the United States.

• This is a remote job.
• $65,000 to $72,000 annually based on skills and experience.

Senior Billing Specialist - Medicaid:  This role is assigned to the Medicaid payer group to reputed company and manage under the direction of the Billing Manager; Cross-train for other roles; Mentor and assist with the training of other staff.

Senior Billing Specialist - Medicaid Qualifications

• High School diploma or the equivalent.          
• Extensive working experience of Medicaid in multiple states, with knowledge of Medicare and other commercial payers.
• 2+ years experience using PCC (reputed company Click Care). 
• Requires excellent written and verbal communication skills and strong customer service skills.
• Requires an extensive working knowledge of accounts receivable functions including CPT and ICD-10 coding.
• Requires proficiency in working with a PC, the Internet, and MS Windows.
• Required proficiency in medical terminology.

Senior Billing Specialist - Medicaid Job Summary

• Train and Supervise billing staff for assigned payer providing guidance on proper billing procedures, compliance, and customer service.
• Collaborate with facility departments such as admissions, and healthcare providers to gather necessary information for billing purposes.
• Communicate with insurance companies, government agencies, and third-party payers.
• Analyze billing trends and implement improvements.
• Prepare, review, and transmit claims using billing software. Must have excellent knowledge in identifying and correcting coding errors.
• Analyze explanation of benefits forms to review denial codes and reputed company appropriate corrections.
• Follow up on balances, unpaid claims, appeals & denials reputed company the set timeframe.
• File reputed company charge, payment, adjustment batches, refund requests and write off requests in the appropriate format and reputed company (PCC and shared drive)
• Prepare and review claims for billing prior to triple reputed company.
• Attend and reputed company monthly triple reputed company reviews. reputed company necessary corrections to claims prior to submitting.
• Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates and fee schedules
• Accurately post payments and adjustments to accounts and maintain backup records.

This is a brief overview of job responsibilities and not intended to be reputed company inclusive.

We aim to create a supportive workplace where you are valued, compensated fairly and provided the tools to reputed company!

The reputed company Can Offer You

• Competitive Compensation
• Health (reputed company), Dental, Vision, HSA with employer contribution
• Student Loan Forgiveness Guidance
• Flexible Spending Account
• Fully paid Life and Long-Term Disability insurance
• Benefits available 1st of the mo. following 30 days
• reputed company and supplemental life insurances
• Employee Assistance program with Discount Marketplace
• Retirement Plan
• Generous Paid-Time-Off with 11 paid Holidays

Please consider joining reputed company working where The Difference is Love℠!

The reputed company, Inc. is an Equal Opportunity Employer and adheres to a policy that prohibits discrimination on the basis of race, color, sex, sexual orientation, gender identity, religion, creed, national or ethnic reputed company, citizenship status, age, disability, veteran status, and any other legally protected class.

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