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Managed Care Medical Biller

1 month ago

Sioux City, Iowa, United States Cassena Care Full time
Cassena Care Career Opportunity

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.
Requirements:
  • 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:
  • Salary commensurate with experience.
  • Generous PTO package.
  • Health/Dental Benefits.
  • 401k plan.

We are an Equal Opportunity Employer.