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Medicare Biller Specialist

1 month ago


Indianapolis, Indiana, United States CommuniCare Health Services Corporate Full time
About the Role

We are seeking a highly skilled Medicare Biller to join our Central Billing Office in Cincinnati, OH. As a key member of our team, you will be responsible for billing, receivables auditing, and collections activities for services provided to patients in the facilities assigned.

Key Responsibilities
  • Verify receipt of monthly triple check forms and audit for accuracy prior to claims submission
  • Review Medicare A, Medicare A No Pays/Benefit Exhaust, Medicare B, and Medicare Secondary Payer claims for accuracy and timely submission
  • Submission of Medicare Advantage Copy claims
  • Identify and submit billing for secondary claims that do not automatically crossover to secondary insurance
  • Monitor for and report Medicare additional development requests (ADRs)
Requirements
  • Knowledge of Medicare & Secondary Billing Guidelines
  • Previous experience billing various Medicare and Co-insurance companies and understanding the requirements for each payor
  • Claims appeal/resolution expertise preferred
What We Offer

As a CommuniCare employee, you will enjoy competitive wages and PTO plans. We offer a menu of benefit options from life and disability plans to medical, dental, and vision coverage, from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.