Medical Biller
Description:
Job Description
Los Palos Post-Acute Care Center, located in San Pedro, CA, is looking to hire an experienced Medicare Biller / Collector with a strong background in billing/collections in a skilled nursing environment. This position will help to support 3 nursing facilities in a centralized billing environment. The Medicare Biller / Collector will be responsible for the coordination of collecting money from Medicare and the Medicare part A and part B coinsurance. They will support the function of Medicare and Medicare coinsurance collections to give it more focus and establish efficient methods of collecting.
What You Will Do:
Responsible to bill Medicare, Managed Care, Medical, Co-Insurance, and various share of costs.
Setup new admissions medical records system to bill accurately
Review billing documentation to ensure completeness, including accuracy of Medicare claims
Manage submission of claims to Medicare and Medicare coinsurance to medical, managed medical, supplemental plans
Manage calls to Insurance Companies to follow up on coinsurance claims/documentation process
Review payments for the accuracy or appeal claim paid incorrectly
Prepare Provider Dispute Resolutions
Ensure billing complies with CMS requirements
Assist in creating reports for management
Research & resolve account discrepancies
Audit the daily census, do necessary corrections, and update payer changes.
Work with Business Office staff to ensure accuracy in last covered days, HIPPS changes, IPA, etc.
Attend various meetings with the facility & corporate staff
Requirements:
-2-3 years of billing & collecting experience in a long-term healthcare environment
-Excellent team building & leadership skills required
-Must have knowledge of Medicare, Medicaid, pending, managed care & share of cost regulations
Benefits:
Competitive pay scale based on your experience
Great benefits – including medical, dental, Rx, and vision coverage, 401K, life and disability insurance.
Paid time off
Dedicated and local leadership support