Managed Care Biller

5 months ago


Woodbury, United States Cassena Care Full time

Cassena Care is seeking a Managed Care Medical Biller to join our dynamic team of professionals.

responsibilities include but are not limited to: 

Collect, enter and process primary and/or secondary claim information on departmental cycle for multiple SNF locations.

Monitor verifications and authorizations obtained and ensure complete service spans are covered. 

Answer business office manager and/or responsible party inquiries on account status and charges.

Researches and resolves all zero payment explanations or benefits and exercises all options to obtain claims payments; initiates adjustments as necessary.

Timely submission of SNF claims to various insurance companies

Prepares and generates 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

Qualifications:

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: Our organization offers employees far more than just a place to work. Rather, we are a company you can be proud of, where you’ll feel good about devoting your time and your talents.

Salary commensurate with experience

Generous PTO package

Health/Dental Benefits

401k plan

We are an EOE



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