Managed Care Medical Biller
2 days ago
We are seeking a highly skilled Managed Care Medical Biller to join our team of professionals at Cassena Care.
Key Responsibilities:- Collect, enter, and process primary and/or secondary claim information for multiple SNF locations.
- Monitor verifications and authorizations obtained to ensure complete service spans are covered.
- Respond to business office manager and/or responsible party inquiries regarding account status and charges.
- Research and resolve zero payment explanations or benefits, exercising all options to obtain claims payments.
- Timely submission of SNF claims to various insurance companies.
- Prepare and generate 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.
- 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.
- Salary commensurate with experience.
- Generous PTO package.
- Health/Dental Benefits.
- 401k plan.
We are an Equal Opportunity Employer.
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