Medicare Claims Specialist

5 days ago


Chester, Virginia, United States Friendship Village Full time
Job Title: Medicare Billing Specialist

The Friendship Village is seeking a highly skilled Medicare Billing Specialist to join our team. As a key member of our healthcare team, you will be responsible for generating Medicare and Medicare Advantage Part A claims in collaboration with our Skilled Nursing facilities.

Key Responsibilities:

  • Compile and input data for skilled and Medicaid residents at all FV campuses.
  • Input data for HMO, Medicaid, Secondary Insurance, Medicare Part A & B claims for both campuses.
    • Generate Medicare and Medicare Advantage Part B therapy claims
    • Bill Medicaid claims using Missouri HealthNet Portal
    • Use Medicare DDE and Clearinghouse for billing Medicare Part A and B claims.
  • Review and correct UB04's before and after triple check meetings.
  • Monitor Aging reports and follow up on overdue accounts.
  • Responsible for monitoring Third Party cash postings.
  • Process necessary reports to support billed claims. Maintain backup and support documents.
  • Maintain computer files and data in an organized fashion.
  • Other duties and projects as assigned.

Requirements:

  • High School diploma or equivalent required.
  • Minimum 5 years relevant Third-Party claims billing experience.
  • Accounting experience preferred.
  • Great attention to detail.
  • Strong analytical, quantitative and problem-solving skills.
  • Excellent verbal and written communication skills.
  • Demonstrate the highest level of customer/client service and response.
  • Maintain strict confidentiality in working around confidential or sensitive materials or conversations.
  • Ability to manage multiple projects, prioritize, and meet deadlines.
  • Work collaboratively in a team environment that promotes inclusiveness and communication among team members.


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