Medicare Claims Specialist
5 days ago
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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