Medical Biller

6 days ago


San Pedro, California, United States Los Palos Post-Acute Care Center Full time
Job Summary

Los Palos Post-Acute Care Center is seeking an experienced Medicare Biller / Collector to join our team. This role will be responsible for coordinating the collection of money from Medicare and Medicare part A and part B coinsurance. The ideal candidate will have a strong background in billing and collections in a skilled nursing environment.

Key Responsibilities
  • Billing and collections for Medicare, Managed Care, Medical, Co-Insurance, and various share of costs.
  • Setup new admissions medical records system to bill accurately.
  • Review billing documentation to ensure completeness, including accuracy of Medicare claims.
  • Manage submission of claims to Medicare and Medicare coinsurance to medical, managed medical, supplemental plans.
  • Manage calls to Insurance Companies to follow up on coinsurance claims/documentation process.
  • Review payments for the accuracy or appeal claim paid incorrectly.
  • Prepare Provider Dispute Resolutions.
  • Ensure billing complies with CMS requirements.
  • Assist in creating reports for management.
  • Research & resolve account discrepancies.
  • Audit the daily census, do necessary corrections, and update payer changes.
  • Work with Business Office staff to ensure accuracy in last covered days, HIPPS changes, IPA, etc.
  • Attend various meetings with the facility & corporate staff.
Requirements

-2-3 years of billing & collecting experience in a long-term healthcare environment.

-Excellent team building & leadership skills required.

-Must have knowledge of Medicare, Medicaid, pending, managed care & share of cost regulations.

Benefits
  • Competitive pay scale based on your experience.
  • Great benefits – including medical, dental, Rx, and vision coverage, 401K, life and disability insurance.
  • Paid time off.
  • Dedicated and local leadership support.


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