Medicare Billing Specialist

4 weeks ago


Sandy, United States Suncrest Home Health & Hospice Full time

At Suncrest Home Health & Hospice, we're seeking a skilled Medicare Billing Specialist to join our team. As a key member of our staff, you'll be responsible for ensuring accurate and timely submission of Medicare claims, as well as resolving any issues that may arise.

Key responsibilities include:

  • Submitting Notices of Election, Notices of Transfer/Revocation, and other necessary documents
  • Managing clean claims on a monthly and as needed basis using EMR or billing software
  • Investigating and resolving hard-to-collect claims
  • Tracking common claims errors and implementing solutions
  • Collaborating with other hospice companies to resolve sequential billing issues
  • Auditing patient files for accuracy in billing
  • Working with the Accounting team to report potentially uncollectible debt and assist with payments and remits
  • Familiarity with PECOS and submitting changes as needed
  • New office EDI setup with the MAC
  • Ability to successfully work with MACs to resolve a variety of issues

Requirements:

  • 3+ years of Medicare billing experience
  • Familiarity with Medicare billing rules and regulations, as well as conditions of participation
  • Familiarity with DDE, EMR, and Medical Billing software
  • Hospice and/or Home Health experience preferred
  • Use of Matrixcare, Waystar preferred
  • Competency using computers, including web portals, downloading, uploading, scanning, etc.
  • Experience with MS Word and Excel
  • High attention to detail
  • Problem-solving skills
  • Accounting mindset
  • Ability to adapt to a changing environment

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