Managed Care Biller
2 weeks ago
Cassena Care is seeking a Managed Care Medical Biller to join our dynamic team of professionals.
responsibilities include but are not limited to:
- Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.- Monitor verifications and authorizations obtained and ensure complete service spans are covered.- Answer business office manager and/or responsible party inquiries on account status and charges.- Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.- Timely submission of SNF claims to various insurance companies- Prepares and generates clean claims for submission to all payor types, including third party payors, Medicare and Medicaid.- Develop and maintain working relationships with internal/external providers to ensure billings and collections procedures are current.- Monthly billing for all Commercial and Managed Care plans- Oversee authorization process to ensure accuracy- Create deposits weekly- Post cash to resident ledgers weekly
- Follow up on all outstanding A/R
Qualifications:
- High School Diploma/GED or equivalent required; Associates Degree or Medical Billing Certificate preferred.- Experience in area of billing, denials review, and accounts receivable processes required.
- Medicaid and Managed Care Billing Experience
What we offer: Our organization offers employees far more than just a place to work. Rather, we are a company you can be proud of, where you'll feel good about devoting your time and your talents.- Salary commensurate with experience- Generous PTO package- Health/Dental Benefits
- 401k plan
We are an EOE
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