Medicare Billing Specialist
4 weeks ago
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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