Medical Biller

3 days ago


Los Angeles, United States Los Palos Post-Acute Care Center Full time
Job DescriptionJob 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

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